Individual provider Active NPI

William Range, M. ED., LMHC

  • Mental Health Counselor
  • Port Townsend, WA
National Provider Identifier
1144345828
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003806 Issued in WA
Practice address
914 Washington St
Suite 7
Port Townsend, WA 98368-5741
Phone
(360) 912-4741
NPI assigned
Mar 20, 2007
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00003806 WA Primary

Addresses

Primary practice location

914 Washington St
Suite 7
Port Townsend, WA 98368-5741

Mailing address

914 Washington St
Suite 7
Port Townsend, WA 98368-5741
Phone (360) 912-4741

Other identifiers 1

IdentifierTypeStateIssuer
LH00006474OtherWAWASHINGTON STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240203000039 WA Practitioner - Mental Health Counselor 1052754389 Practice locations: Port Townsend, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

914 Washington St
Suite 7
Port Townsend, WA 98368-5746
Phone (360) 912-4741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LH00003806WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1144345828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983685741",
            "telephone_number": "360-912-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983685741",
            "telephone_number": "360-912-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGE",
        "first_name": "WILLIAM",
        "credential": "M. ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "LH00006474",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.