Organization Active NPI

Island of Hope Counseling PLLC

  • Mental Health Counselor
  • Oak Harbor, WA
National Provider Identifier
1407404965
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ISLAND OF HOPE COUNSELING PLLC
Practice address
231 SE Barrington Dr
Oak Harbor, WA 98277-3200
Phone
(425) 954-5659
Fax
(425) 230-4888
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Todd M Webb, M. ED.NPI 1831293257
Title
Sole Member
Phone
(360) 682-4605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

231 SE Barrington Dr
Oak Harbor, WA 98277-3200

Mailing address

PO Box 1278
Lincolnton, NC 28093-1278
Phone (425) 954-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240802001313 WA Part B Supplier - Clinic/Group Practice 0244699304 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

231 SE Barrington Dr
Ste 205
Oak Harbor, WA 98277
Phone (206) 388-3929

231 SE Barrington Dr
Oak Harbor, WA 98277
Phone (330) 831-5538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1407404965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931278",
            "telephone_number": "425-954-5659",
            "fax_number": "425-230-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "425-954-5659",
            "fax_number": "425-230-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OF HOPE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "360-682-4605",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.