Individual provider Active NPI

Eileen Carol Williams, LMHC

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1750584124
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008153 Issued in WA
Practice address
4423 S 3Rd Ave Ste 100
Everett, WA 98203-2515
Phone
(425) 876-7547
Fax
(425) 491-4920
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00008153 WA Primary

Addresses

Primary practice location

4423 S 3Rd Ave Ste 100
Everett, WA 98203-2515

Mailing address

4423 S 3Rd Ave Ste 100
Everett, WA 98203-2515
Phone (425) 876-7547

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
I20241025001542 WA Practitioner - Mental Health Counselor 3678006939 Practice locations: Everett, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4423 S 3Rd Ave
Everett, WA 98203-2515
Phone (425) 876-7547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00008153WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Dietitians LLC PastSince Feb 1, 2020 Accepting new patients

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1750584124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 S 3RD AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032515",
            "telephone_number": "425-876-7547",
            "fax_number": "425-491-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 S 3RD AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032515",
            "telephone_number": "425-876-7547",
            "fax_number": "425-491-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EILEEN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.