Active NPI
Elinor R Blaney, LICSW CDP
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1336360528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LW0006422
- Practice address
- 130 Andover Park E
302
Tukwila, WA 98188-2909 - Phone
- (253) 854-1122
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00002272 | WA | |
| Mental Health Counselor | 101YM0800X | LW0006422 | WA | Primary |
Addresses
Primary practice location
130 Andover Park E
302
Tukwila, WA 98188-2909
Mailing address
P.O. Box 98795
Seattle, WA 98198
Phone (253) 854-1122
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00002272 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LW0006422 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1336360528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 98795",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98198",
"telephone_number": "253-854-1122",
"fax_number": "253-395-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ANDOVER PARK E",
"address_2": "302",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882909",
"telephone_number": "253-854-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANEY",
"first_name": "ELINOR",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LICSW CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002272",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LW0006422",
"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 Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.