Monticello Counseling Services PS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004277 Issued in WA

Legal business name

MONTICELLO COUNSELING SERVICES PS

Practice address

1717 Olympia Way Ste 207
Longview, WA 98632-3929

Phone

(360) 425-2819

Fax

(360) 425-2819

NPI assigned

Sep 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Len Zylstra, MSW

Title

President

Phone

(360) 425-2819

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Julia O'Day, LCSW

  • Clinical Social Worker
  • Longview, WA
  • NPI 1003920018
  NPD (past)

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1649465048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY STE 207",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323929",
            "telephone_number": "360-425-2819",
            "fax_number": "360-425-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY STE 207",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323929",
            "telephone_number": "360-425-2819",
            "fax_number": "360-425-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO COUNSELING SERVICES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ZYLSTRA",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-425-2819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Moe, CPC
• Jaimie Allene Mogush, ARNP
• Hilal Momand
• Winnie Monohan, MS, CGC
• Jonathan Kyrtis Montano, OTR
• Erin Marie Mooers, LPN
• Michael Moon
• Amanda C Moore
• Morrill T Moorehead, MD
• Sophia Yolanda Moormeier, LMP

• Clinical Social Worker in Longview, WA
• Providers in Longview, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.