Active NPI
Anita Louise Fletcher, MS
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1407075526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004167
- Practice address
- 4400 NE 77TH Ave
Ste 275
Vancouver, WA 98662-6706 - Phone
- (360) 551-2423
- NPI assigned
- Apr 25, 2007
- 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 | LH00004167 | WA | Primary |
Addresses
Primary practice location
4400 NE 77TH Ave
Ste 275
Vancouver, WA 98662-6706
Mailing address
4400 NE 77TH Ave
Ste 275
Vancouver, WA 98662-6706
Phone (360) 551-2423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A042 | Other | WA | TRICARE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004167 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1407075526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE",
"address_2": "STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626706",
"telephone_number": "360-551-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE",
"address_2": "STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626706",
"telephone_number": "360-551-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "ANITA",
"middle_name": "LOUISE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A042",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.