NPIMap

Organization Active NPI

A Different Path Counseling, PLLC

  • Community/Behavioral Health Agency
  • Monroe, WA
National Provider Identifier
1093358731
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A DIFFERENT PATH COUNSELING, PLLC
Practice address
101 E Main St Ste 208
Monroe, WA 98272-1519
Phone
(360) 863-2913
NPI assigned
Oct 25, 2019
Last updated
May 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Crystal Marie Woodland Hamilton, LMHC, SUDPNPI 1508019209
Title
Owner
Phone
(360) 863-2913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

101 E Main St Ste 208
Monroe, WA 98272-1519

Mailing address

19916 Old Owen Rd # 152
Monroe, WA 98272-9778
Phone (360) 863-2913

Other identifiers 1

IdentifierTypeStateIssuer
2150753MedicaidWA

National Provider Directory

National Provider Directory

Locations

101 E Main St
Ste 208
Monroe, WA 98272
Phone (360) 485-0820

101 E Main St
Ste 209
Monroe, WA 98272
Phone (360) 485-0820

19916 Old Owen Rd
Monroe, WA 98272

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1093358731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19916 OLD OWEN RD # 152",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729778",
            "telephone_number": "360-863-2913",
            "fax_number": "949-404-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 208",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721519",
            "telephone_number": "360-863-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIFFERENT PATH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "WOODLAND HAMILTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-863-2913",
        "authorized_official_credential": "LMHC, SUDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150753",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.