Organization Active NPI

Azimuth Counseling PLLC

  • Clinical Social Worker
  • Ellensburg, WA
National Provider Identifier
1609454537
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AZIMUTH COUNSELING PLLC
Practice address
1206 N Dolarway Rd Ste 205
Ellensburg, WA 98926-8392
Phone
(509) 899-7685
Fax
(855) 644-1338
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Tasha L Hansen, MSW, LICSW
Title
Owner Psychotherapist
Phone
(509) 899-7685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1206 N Dolarway Rd Ste 205
Ellensburg, WA 98926-8392

Mailing address

PO Box 465
Ellensburg, WA 98926-8392
Phone (509) 899-7685

Other identifiers 1

IdentifierTypeStateIssuer
2203415MedicaidWA

National Provider Directory

National Provider Directory

Locations

1206 N Dolarway Rd
Ste 205
Ellensburg, WA 98926
Phone (509) 899-7685

1206 N Dolarway Rd
Ste 116
Ellensburg, WA 98926
Phone (206) 696-1550

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1609454537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268392",
            "telephone_number": "509-899-7685",
            "fax_number": "855-644-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N DOLARWAY RD STE 205",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268392",
            "telephone_number": "509-899-7685",
            "fax_number": "855-644-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIMUTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "509-899-7685",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.