Organization Active NPI

Charis Counseling LLC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1417134172
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011157 Issued in WA
Legal business name
CHARIS COUNSELING LLC
Practice address
1427 Monte Vista Dr
Mount Vernon, WA 98273-9114
Phone
(360) 312-4093
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Betsy Lozar, LMHCNPI 1558323261
Title
Licensed Mental Health Counselor
Phone
(360) 312-4093

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00011157 WA Primary

Addresses

Primary practice location

1427 Monte Vista Dr
Mount Vernon, WA 98273-9114

Mailing address

3025 Ridgeview Dr
Sedro Woolley, WA 98284-9522
Phone (360) 595-6011

Other identifiers 2

IdentifierTypeStateIssuer
RC00023108OtherWACOUNSELOR REGISTERED
LH00011157OtherWAMENTAL HEALTH COUNSELOR

National Provider Directory

National Provider Directory

Locations

1427 Monte Vista Dr
Mount Vernon, WA 98273
Phone (360) 312-4093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1417134172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 RIDGEVIEW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849522",
            "telephone_number": "360-595-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 MONTE VISTA DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739114",
            "telephone_number": "360-312-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "LOZAR",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "360-312-4093",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR REGISTERED",
            "identifier": "RC00023108",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "LH00011157",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.