Individual provider Active NPI

Eileen Scholtz, CO61027498

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1336774975
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61346335 Issued in WA
Practice address
216 James St
Seattle, WA 98104-5102
Phone
(206) 464-6454
Fax
(206) 652-1236
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 61027498 WA
Mental Health Counselor 101YM0800X LH61346335 WA Primary

Addresses

Primary practice location

216 James St
Seattle, WA 98104-5102

Mailing address

921 Harvey Rd NE Ste C
Auburn, WA 98002-4294
Phone (253) 939-2211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL escholtz@desc.org

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
LH61346335WAMDMental Health Counselor
61027498WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
A Walk to Freedom Counseling, LLC Mental Health CurrentSince Jun 11, 2023 Accepting new patients
Youth Eastside Services Past Accepting new patients

Locations

921 Harvey Rd NE
Ste C
Auburn, WA 98002
Phone (253) 433-1701

Organizations & group practices 2

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1336774975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD NE STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-939-2211",
            "fax_number": "253-939-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981045102",
            "telephone_number": "206-464-6454",
            "fax_number": "206-652-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTZ",
        "first_name": "EILEEN",
        "credential": "CO61027498",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "61027498",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61346335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "escholtz@desc.org",
            "affiliation": "N",
            "address_1": "216 James St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981045102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.