Tara Ettlin, MS, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH60031137 Issued in WA

Practice address

2110 Iron St
Bellingham, WA 98225-4123

Phone

(360) 734-2664

Fax

(360) 671-8006

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 13, 2024 through Feb 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erik a. Papritz LMHC Inc.

  • Adult Mental Health Clinic/Center
  • Bellingham, WA
  • NPI 1790500692
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1093842643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 IRON ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254123",
            "telephone_number": "360-734-2664",
            "fax_number": "360-671-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 IRON ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254123",
            "telephone_number": "360-734-2664",
            "fax_number": "360-671-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTLIN",
        "first_name": "TARA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60031137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7406051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Wholeness PLLC
• Gail Ann Estes, R.N.
• Angelica Estevez-Solano, SUDPT
• Esther Grummel MSW Licsw CDP
• Nadine Marie Ethridge, LPN
• Etue Chiropractic, PLLC
• Thomas Etue, DC
• Craig Allen Eubank, CRAIG EUBANK
• Kelly Eubank
• John C Eudy III, PA

• Professional Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.