Active NPI
E'Lon Mack
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1124658356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC.LH.70119822
- Practice address
- 1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509 - Phone
- (360) 931-1137
- NPI assigned
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MHC.LH.70119822 | WA | Primary |
| Counselor | 101Y00000X | MC61661558 | WA |
Addresses
Primary practice location
1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509
Mailing address
5500 NE 89TH Ave
Vancouver, WA 98662-6057
Phone (360) 931-1137
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61661558 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1124658356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 NE 89TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626057",
"telephone_number": "360-931-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 SE TECH CENTER PL STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835509",
"telephone_number": "360-931-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "E'LON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-15",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHC.LH.70119822",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61661558",
"primary": false
}
],
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.