Individual provider Active NPI

Elena Marie Schulz

  • Mental Health Counselor
  • Clarkston, WA
National Provider Identifier
1639814569
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
303 Bridge St Ste C
Clarkston, WA 99403-2921
Phone
(509) 254-5053
Fax
(509) 769-3500
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

303 Bridge St Ste C
Clarkston, WA 99403-2921

Mailing address

920 6TH St
Clarkston, WA 99403-2079
Phone (509) 254-5053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513002546 WA Practitioner - Clinical Social Worker 6406325059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 6TH St
Clarkston, WA 99403-2079

PO Box
Suite 552
Clarkston, WA 99403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Counseling PLLC Mental Health CurrentSince May 8, 2022 Accepting new patients

Locations

920 6th St
Clarkston, WA 99403
Phone (509) 254-5053

303 Bridge St
Ste C
Clarkston, WA 99403
Phone (425) 362-2914

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1639814569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032079",
            "telephone_number": "509-254-5053",
            "fax_number": "509-769-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRIDGE ST STE C",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032921",
            "telephone_number": "509-254-5053",
            "fax_number": "509-769-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "ELENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

Verify at the official NPI Registry.