Active NPI
Elizabeth Schaller, LCSW
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1255654067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60938376
- Practice address
- 6100 Southcenter Blvd
Tukwila, WA 98188 - Phone
- (206) 444-7800
- Fax
- (206) 444-7810
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60938376 | WA | Primary |
Addresses
Primary practice location
6100 Southcenter Blvd
Tukwila, WA 98188
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (062) 901-2000
Other practice location 1
1251 Pinnacle Church Rd
Nebo, NC 28761-5753
Phone (828) 659-3418
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60938376 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1255654067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "062-901-2000",
"fax_number": "062-901-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "98188",
"telephone_number": "206-444-7800",
"fax_number": "206-444-7810"
}
],
"practiceLocations": [
{
"address_1": "1251 Pinnacle Church Rd",
"address_purpose": "LOCATION",
"city": "Nebo",
"state": "NC",
"postal_code": "287615753",
"country_code": "US",
"telephone_number": "828-659-3418",
"fax_number": "828-659-3291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHALLER",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60938376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.