Elissa Charlene Jules, CP61224601

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61224601 Issued in WA

Practice address

6330 31St Ave NE Ste 101
Tulalip, WA 98271-7423

Phone

(360) 716-2200

Fax

(360) 716-2211

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Swinomish Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anacortes, WA
  • NPI 1134632599
  NPD
• Swinomish Health Services

  • Substance Abuse Rehabilitation Facility
  • Anacortes, WA
  • NPI 1710182787
  NPD
• Tulalip Tribes of Washington Quil Ceda Creek Counseling

  • General Practice Physician
  • Tulalip, WA
  • NPI 1578272712
  NPD
• Tulalip Tribes of Washington Quil Ceda Creek Counseling

  • Methadone Clinic
  • Tulalip, WA
  • NPI 1699356683
  NPD
• Lake Whatcom Residential & Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1043281736

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1689232639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 31ST AVE NE",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982717423",
            "telephone_number": "360-716-2200",
            "fax_number": "360-716-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 31ST AVE NE STE 101",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982717423",
            "telephone_number": "360-716-2200",
            "fax_number": "360-716-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Meridian St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251756",
            "country_code": "US",
            "telephone_number": "360-676-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8212 S March Point Rd",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982218684",
            "country_code": "US",
            "telephone_number": "360-588-2800 x2884",
            "fax_number": "360-588-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULES",
        "first_name": "ELISSA",
        "middle_name": "CHARLENE",
        "credential": "CP61224601",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60902535",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61224601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Elizabeth Conner Jensen, BPHARM
• Emily Ann Johnson, LMHCA
• Kristie Johnson
• Robin Louise Johnson, CDP
• Gayle Ann Jones, BA, IN HS & ED., CDP
• Preet Kamal, ARNP
• Oksana Kononenko
• Leslie Kay Howe Krasselt, LMP, MMT
• Lynelle Lauzon
• Stephen Lee, PHARM D

• Addiction (Substance Use Disorder) Counselor in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.