Organization Active NPI

Family Tree Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richland, WA
National Provider Identifier
1457112757
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY TREE COUNSELING, PLLC
Practice address
705 Gage Blvd Ste 102
Richland, WA 99352-9716
Phone
(509) 578-6581
Fax
(509) 955-4395
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Melissa L Ellison, LMHCNPI 1104207026
Title
Owner/Provider
Phone
(509) 578-6581

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

705 Gage Blvd Ste 102
Richland, WA 99352-9716

Mailing address

705 Gage Blvd Ste 102
Richland, WA 99352-9716
Phone (509) 578-6581

Other names 1

  • Family Tree Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

705 Gage Blvd
Ste 102
Richland, WA 99352
Phone (509) 578-6581

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1457112757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-578-6581",
            "fax_number": "509-955-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-578-6581",
            "fax_number": "509-955-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-578-6581",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.