Individual provider Active NPI

Ronda Kay Metcalf, COUNSELOR- REGISTERE

  • Counselor
  • Darrington, WA
National Provider Identifier
1306043310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00058101 Issued in WA
Practice address
5318 Chief Brown LN
Darrington, WA 98241-9420
Phone
(360) 436-1400
Fax
(360) 436-0242
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00058101 WA Primary

Addresses

Primary practice location

5318 Chief Brown LN
Darrington, WA 98241-9420

Mailing address

5318 Chief Brown LN
Darrington, WA 98241-9420
Phone (360) 436-1400

Other identifiers 1

IdentifierTypeStateIssuer
1981315MedicaidWA

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

LicenseStateTypeSpecialty
RC00058101WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk-Suiattle Indian Tribe PastSince Sep 8, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306043310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 CHIEF BROWN LN",
            "city": "DARRINGTON",
            "state": "WA",
            "postal_code": "982419420",
            "telephone_number": "360-436-1400",
            "fax_number": "360-436-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 CHIEF BROWN LN",
            "city": "DARRINGTON",
            "state": "WA",
            "postal_code": "982419420",
            "telephone_number": "360-436-1400",
            "fax_number": "360-436-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "RONDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR- REGISTERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00058101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981315",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darrington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.