Adam D Halvorsen, MACP, LMHC, CDP, CPS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60930372 Issued in WA

Practice address

1498 SE Tech Center PL Ste 180
Vancouver, WA 98683-5518

Phone

(360) 619-2226

Fax

(360) 326-9691

NPI assigned

May 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real Life Counseling PLLCGroup PAC ID 6406156231, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Real Life Counseling PLLC

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1053782078
  Medicare reassignment Care Compare group
• Real Life Community Behavioral Health PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1952063265
  NPD
• Restored Life Counseling

  • Counselor
  • Glendale, AZ
  • NPI 1356847008
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1144580432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SE CHKALOV DR STE 111NO111",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835292",
            "telephone_number": "360-844-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 180",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835518",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSEN",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "MACP, LMHC, CDP, CPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60158865",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "7889",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60930372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Hall
• Gregory Hallas, M.D.
• Viorica Halmagean
• Tiffany Ann Halpin
• Tracy Halsey
• Derek S Halvorson, MD
• Katherine M. Ham, LPC, LMHC, NBCC
• Lisel Nadine Ham
• Joshua Hamann
• Nicole Hamberger, CO60856270

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Jul 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.