Active NPI
Arielle Wortman, PSY.M., LMHC
- Mental Health Counselor
- Port Townsend, WA
National Provider Identifier
1326775909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61245712
- Practice address
- 1809 Sheridan St
Port Townsend, WA 98368-7610 - Phone
- (360) 379-5109
- NPI assigned
- Aug 4, 2022
- 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 | LH61245712 | WA | Primary |
Addresses
Primary practice location
1809 Sheridan St
Port Townsend, WA 98368-7610
Mailing address
1809 Sheridan St
Port Townsend, WA 98368-7610
Phone (360) 379-5109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH61245712 | Other | WA | MENTAL HEALTH COUNSELOR LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WWW.JUMPINGMOUSE.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
90 SE Klah Che Min Dr
Shelton, WA 98584-7747
90 SE Klah Che Min Dr
Shelton, WA 98584-9216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61245712 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1326775909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983687610",
"telephone_number": "360-379-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983687610",
"telephone_number": "360-379-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTMAN",
"first_name": "ARIELLE",
"credential": "PSY.M., LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61245712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR LICENSE",
"identifier": "LH61245712",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WWW.JUMPINGMOUSE.ORG",
"affiliation": "N",
"address_1": "1809 Sheridan St",
"city": "Port Townsend",
"state": "WA",
"country_code": "US",
"postal_code": "983687610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.