Individual provider Active NPI

Faiiletasi V.S. Ekeroma, M.A., LMFT

  • Marriage & Family Therapist
  • Olympia, WA
National Provider Identifier
1659617421
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60788399 Issued in WA
Practice address
500 Columbia St NW Ste 102
Olympia, WA 98501-4447
Phone
(844) 552-0141
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60788399 WA Primary

Addresses

Primary practice location

500 Columbia St NW Ste 102
Olympia, WA 98501-4447

Mailing address

700 Sleater Kinney Rd SE
Suite B #185
Lacey, WA 98503-6746
Phone (253) 256-5149

Other practice location 1

700 Sleater Kinney Rd SE
Suite B #185
Lacey, WA 98503-6746
Phone (253) 256-5149

Other names 1

  • Ms. Scarlett Ekeroma Professional name

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
I20250822001295 WA Practitioner - Marriage and Family Therapist 5496255622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

500 Columbia St NW
Suite 120
Olympia, WA 98501-4447
Phone (253) 752-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF60788399WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Marriage & Family Therapist CurrentSince Aug 7, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1659617421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE",
            "address_2": "SUITE B #185",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036746",
            "telephone_number": "253-256-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLUMBIA ST NW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014447",
            "telephone_number": "844-552-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Sleater Kinney Rd SE",
            "address_2": "Suite B #185",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985036746",
            "country_code": "US",
            "telephone_number": "253-256-5149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKEROMA",
        "first_name": "FAIILETASI",
        "middle_name": "V.S.",
        "name_prefix": "Ms.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60788399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCARLETT",
            "last_name": "EKEROMA",
            "prefix": "MS.",
            "credential": "M.A., LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.