Active NPI
Azimuth Counseling PLLC
- Clinical Social Worker
- Ellensburg, WA
National Provider Identifier
1609454537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203415 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.