Elizabeth Falls

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61409565 Issued in WA

Practice address

17810 149TH Ave NE
Woodinville, WA 98072-6202

Phone

(859) 494-9189

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Charis Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodinville, WA
  • NPI 1548073109
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1134816358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 149TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726202",
            "telephone_number": "859-494-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 149TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726202",
            "telephone_number": "859-494-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61409565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Erickson, Ma, CSP, NCC, LMHC, LMHC
• Courtney Evans
• Kody Lee Evans
• Expressions in Eyewear, Inc
• Kyoko Nakamura Falk
• Peiwen Wang Fannin, EAMP, LAC
• Elizabeth Faulkner, RPH
• Ghazaleh Feghhi
• Jacob Ferry
• Megan Fitchett, LMHCA, ATR-P

• Mental Health Counselor in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.