Active NPI
Elizabeth Rose Taets Von Amerongen, LPC
- Professional Counselor
- Blaine, WA
National Provider Identifier
1508337064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74902
- Practice address
- 701 Harrison Ave Unit 131
Blaine, WA 98231-7006 - Phone
- (929) 399-3414
- NPI assigned
- Dec 10, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61093280 | WA | |
| Professional Counselor | 101YP2500X | C5091 | OR | |
| Professional Counselor | 101YP2500X | LPC.0017007 | CO | |
| Professional Counselor | 101YP2500X | 74902 | TX | Primary |
Addresses
Primary practice location
701 Harrison Ave Unit 131
Blaine, WA 98231-7006
Mailing address
701 Harrison Ave Unit 131
Blaine, WA 98231-7006
Phone (929) 399-3414
Other names 1
- Elizabeth Rose Sierra Williams
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61093280 | WA | MD | Mental Health Counselor |
| LPC.0017007 | CO | MD | Professional Counselor |
| C5091 | OR | MD | Professional Counselor |
| 74902 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corazon de Colibri Counseling | Professional | Current | Accepting new patients |
| Alive Counseling Clinic, LLC | Professional | Past | Accepting new patients |
Locations
701 Harrison Ave
Unit 131
Blaine, WA 98231
Phone (210) 549-8253
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Blaine, WA
- NPI 1013870625
-
- Professional Counselor
- Eugene, OR
- NPI 1801651617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1508337064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HARRISON AVE UNIT 131",
"city": "BLAINE",
"state": "WA",
"postal_code": "982317006",
"telephone_number": "929-399-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HARRISON AVE UNIT 131",
"city": "BLAINE",
"state": "WA",
"postal_code": "982317006",
"telephone_number": "929-399-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAETS VON AMERONGEN",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61093280",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5091",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0017007",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SIERRA WILLIAMS",
"middle_name": "ROSE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Blaine, WA
- Donald E Staal, MA,CDP,LMFT
- Kristen Stamback, RN
- Kenneth Robert Stiver, M.D.
- Megan Elizabeth Stonelake, M.A.
- Nicole Szostak
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Fare Square, LLC
- The Lighthouse Addiction Recovery Centre
- Madeline Lynn Tompkins, MA A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.