Individual provider Active NPI

Elizabeth Rose Taets Von Amerongen, LPC

  • Professional Counselor
  • Blaine, WA
National Provider Identifier
1508337064
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74902 Issued in TX
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

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
LH61093280WAMDMental Health Counselor
LPC.0017007COMDProfessional Counselor
C5091ORMDProfessional Counselor
74902TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon de Colibri Counseling Professional CurrentSince Dec 14, 2025 Accepting new patients
Alive Counseling Clinic, LLC Professional PastSince Feb 1, 2024 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.

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

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.

Verify at the official NPI Registry.