Eli Tito Galvan II, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH60918078 Issued in WA

Practice address

2005 SE 192ND Ave Ste 200
Camas, WA 98607-7475

Phone

(360) 217-9125

NPI assigned

Jul 1, 2016

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1730531765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 SE 19TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833465",
            "telephone_number": "228-224-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SE 192ND AVE STE 200",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077475",
            "telephone_number": "360-217-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "ELI",
        "middle_name": "TITO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60918078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LH60918078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ford, RN
• Tracy Jo Foskett
• Christina Lillian Friesen, LMP
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• Christina Leah Gagelmann, LMT
• Madison Garland
• Orlan J Gessford, DMD
• Maryika Gibson, NP
• Priscilla Gilbert
• Bethany Nicole Gilles, DC

• Professional Counselor in Camas, WA
• Providers in Camas, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.