Individual provider Active NPI

Tammie Lynn Noelle Ertman, MA, LMHC

  • Mental Health Counselor
  • Battle Ground, WA
National Provider Identifier
1235839440
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61232094 Issued in WA
Practice address
819 SE 14TH Loop
Battle Ground, WA 98604-4891
Phone
(360) 619-2643
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 61232094 WA Primary

Addresses

Primary practice location

819 SE 14TH Loop
Battle Ground, WA 98604-4891

Mailing address

513 SE 14TH Ave
Battle Ground, WA 98604-4871
Phone (360) 619-2643

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61232094WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235839440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SE 14TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044871",
            "telephone_number": "360-619-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE 14TH LOOP",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044891",
            "telephone_number": "360-619-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOELLE ERTMAN",
        "first_name": "TAMMIE",
        "middle_name": "LYNN",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61232094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.