Essential Self, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LH60172456 Issued in WA

Legal business name

ESSENTIAL SELF, LLC

Practice address

1501 15TH St NW
Suite 107
Auburn, WA 98001-3507

Phone

(253) 929-8732

Fax

(253) 929-8738

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Carole A. Hayes, CDP, LMHC

Title

Owner/Administrator

Phone

(253) 929-8732

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1346509775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 15TH ST NW",
            "address_2": "SUITE 107",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013507",
            "telephone_number": "253-929-8732",
            "fax_number": "253-929-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 15TH ST NW",
            "address_2": "SUITE 107",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013507",
            "telephone_number": "253-929-8732",
            "fax_number": "253-929-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "253-929-8732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH60172456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinie Michelle Erskine, AAC
• Jamel A Ervin, MA,HCA
• Larissa Escamilla-Ocanas
• Grace Escano, RN
• Esseme Essang-Ekpo, MSW
• Daniele Elizabeth Estrada, LSWAIC
• Alison Evans
• Tanja D Evans, M.D.
• Cidney Jordan Evanson
• Evergreen Eye Center, PLLC

• Community/Behavioral Health Agency in Auburn, WA
• Providers in Auburn, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.