Ellensburg Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006668 Issued in WA

Legal business name

ELLENSBURG COUNSELING SERVICES PLLC

Practice address

109 E 3Rd Ave
Suite 7
Ellensburg, WA 98926-3357

Phone

(509) 925-2123

Fax

(509) 925-2008

NPI assigned

Dec 9, 2006

Organization subpart

No

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

Authorized official

Name

Marti K. Bradley, MSW

Title

Owner

Phone

(509) 925-2123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marti K. Bradley Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura S Doughty, MS, LMHC

  • Mental Health Counselor
  • Ellensburg, WA
  • NPI 1669562922
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124188487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 3RD AVE",
            "address_2": "SUITE 7",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263357",
            "telephone_number": "509-925-2123",
            "fax_number": "509-925-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 3RD AVE",
            "address_2": "SUITE 7",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263357",
            "telephone_number": "509-925-2123",
            "fax_number": "509-925-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-925-2123",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184635146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marti K. Bradley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carla Jo Eigenauer, RDH
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• Ellensburg Eye and Contact Lens Clinic
• Ellensburg Family Medicine (CompassDirect Healthcare)
• Ellensburg Integrative Medicine PLLC
• Ellensburg Pediatrics PLLC

• Clinical Social Worker in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.