Carol Lynn Ford, PHD, CAC I, LPC, SUP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0005899 Issued in CO

Practice address

912 E Fir St
Sequim, WA 98382-3565

Phone

(970) 946-7898

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1750511465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E FIR ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823565",
            "telephone_number": "970-946-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E FIR ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823565",
            "telephone_number": "970-946-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 E Fir St",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823565",
            "country_code": "US",
            "telephone_number": "970-946-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "CAROL LYNN",
        "credential": "PHD, CAC I, LPC, SUP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0005899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Fitzgerald, MD PH D
• Loritha Ann Fitzpatrick, CPM, LM
• Lucia Vracin Fletcher, DC
• FMG West Hemlock Street Washington LLC (Sequim Health & Rehabilitation Center)
• John Joseph Folta, DC
• Carrie Fox
• Fred Meyer Stores Inc (QFC Pharmacy)
• Tami Frederick- Maupin, CDPT
• Amber Lynn Freeman, CO61096606
• David Alonzo Freeman, CO61065969

• Mental Health Counselor in Sequim, WA
• Providers in Sequim, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.