Active NPI
Samuel Isaac Scheelke
- Counselor
- Ephrata, WA
National Provider Identifier
1174342091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 124 3Rd Ave SW
Ephrata, WA 98823-5100 - Phone
- (509) 754-2012
- NPI assigned
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
124 3Rd Ave SW
Ephrata, WA 98823-5100
Mailing address
840 E Plum St
Moses Lake, WA 98837-1874
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Grant | Current | Accepting new patients |
Locations
840 E Plum St
Moses Lake, WA 98837
Phone (509) 331-4050
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1174342091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E PLUM ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 3RD AVE SW",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988235100",
"telephone_number": "509-754-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEELKE",
"first_name": "SAMUEL",
"middle_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.