Active NPI
Roberta S Paulsen, M.A.
- Mental Health Counselor
- Tacoma, WA
National Provider Identifier
1588817456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC 00059331
- Practice address
- 1201 S Proctor St
Tacoma, WA 98405-2047 - Phone
- (253) 396-5800
- NPI assigned
- Oct 23, 2008
- Last updated
- Oct 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC 00059331 | WA | Primary |
Addresses
Primary practice location
1201 S Proctor St
Tacoma, WA 98405-2047
Mailing address
6314 S Park Ave
Tacoma, WA 98408-4609
Phone (253) 473-7350
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC 00059331 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1588817456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 S PARK AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984084609",
"telephone_number": "253-473-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-396-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "ROBERTA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC 00059331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.