Active NPI
Elizabeth Janet Macgillivray, MED
- Mental Health Counselor
- Stanwood, WA
National Provider Identifier
1306941554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004533
- Practice address
- 18605 98TH Ave NW
Stanwood, WA 98292 - Phone
- (360) 652-9808
- Fax
- (360) 652-9808
- NPI assigned
- Sep 13, 2006
- 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 | LH00004533 | WA | Primary |
Addresses
Primary practice location
18605 98TH Ave NW
Stanwood, WA 98292
Mailing address
18605 98TH Ave NW
Stanwood, WA 98292
Phone (360) 652-9808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2024 through Apr 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004533 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306941554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18605 98TH AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-652-9808",
"fax_number": "360-652-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18605 98TH AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-652-9808",
"fax_number": "360-652-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGILLIVRAY",
"first_name": "ELIZABETH",
"middle_name": "JANET",
"name_prefix": "Ms.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.