Individual provider Active NPI

Beth Ann Eyler, LICSW

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1063885952
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW60946522 Issued in WA
Practice address
101 E 8TH St Ste 260
Vancouver, WA 98660-3399
Phone
(503) 997-8049
Fax
(360) 282-1036
NPI assigned
Nov 2, 2015
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CAAR.CG.60603009 WA
Mental Health Counselor 101YM0800X LW60946522 WA Primary

Addresses

Primary practice location

101 E 8TH St Ste 260
Vancouver, WA 98660-3399

Mailing address

101 E 8TH St Ste 260
Vancouver, WA 98660-3399
Phone (503) 997-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAAR.CG.60603009WAMDMental Health Counselor
LW60946522WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1063885952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 260",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603399",
            "telephone_number": "503-997-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 260",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603399",
            "telephone_number": "503-997-8049",
            "fax_number": "360-282-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYLER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CAAR.CG.60603009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60946522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.