Ellen Roberts Counseling, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004525 Issued in WA

Legal business name

ELLEN ROBERTS COUNSELING, PC

Practice address

321 Price St
Friday Harbor, WA 98250-9606

Phone

(360) 472-0723

NPI assigned

Dec 16, 2007

Organization subpart

No

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

Authorized official

Name

Ellen RobertsNPI 1548423569

Title

President

Phone

(360) 472-0723

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Roberts, LICSW

  • Clinical Social Worker
  • Friday Harbor, WA
  • NPI 1548423569
  NPD (past) Authorized official
• Che Blaine, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Eastsound, WA
  • NPI 1689967184
  NPD (past)
• Patricia Hansen, DC

  • Rehabilitation Chiropractor
  • Friday Harbor, WA
  • NPI 1124235650
  NPD (past)

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197763200000",
    "number": "1295918035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EGG LAKE RD",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507067",
            "telephone_number": "360-472-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PRICE ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509606",
            "telephone_number": "360-472-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN ROBERTS COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-472-0723"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia G Dillery, RN
• Beth Ann Drake, LMP
• Regina Joan Dwyer, M.D.
• Mark Wheeler Earnhart, D.C.
• J. Michael Edwards, M.D., D.D.S.
• Eventide Health PLLC
• Ingrid Susanne Fabianson, MSW, M.DIV.
• Quinn N Fihn, PMHNP-BC
• Jack Mark Fishaut, MD
• Kristina M Fisher, OTR/L

• Clinical Social Worker in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; 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.