Active NPI
Eliazar Islas
- Counselor
- Richland, WA
National Provider Identifier
1235311465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00024546
- Practice address
- 660 George Washington Way
Suite B
Richland, WA 99352-4246 - Phone
- (509) 946-8778
- Fax
- (509) 946-3887
- NPI assigned
- Nov 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00024546 | WA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00001960 | WA |
Addresses
Primary practice location
660 George Washington Way
Suite B
Richland, WA 99352-4246
Mailing address
660 George Washington Way
Suite B
Richland, WA 99352-4246
Phone (509) 946-8778
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 |
|---|---|---|---|
| RC00024546 | WA | MD | Counselor |
| CP00001960 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Counseling & Consulting | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Richland, WA
- NPI 1649498585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1235311465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GEORGE WASHINGTON WAY",
"address_2": "SUITE B",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524246",
"telephone_number": "509-946-8778",
"fax_number": "509-946-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 GEORGE WASHINGTON WAY",
"address_2": "SUITE B",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524246",
"telephone_number": "509-946-8778",
"fax_number": "509-946-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS",
"first_name": "ELIAZAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00024546",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00001960",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.