Individual provider Active NPI

Adair Louise Hasty-Vannoy, LMHC CMHS MHP

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1770959348
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60245673 Issued in WA
Practice address
24437 Russell Rd Ste 230
Kent, WA 98032-4950
Phone
(206) 816-2706
Fax
(253) 852-0720
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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 60245673 WA Primary

Addresses

Primary practice location

24437 Russell Rd Ste 230
Kent, WA 98032-4950

Mailing address

PO Box 59284
Renton, WA 98058-2284
Phone (206) 816-2706

Other names 1

  • Adair Louise Ellison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 27, 2024 through Nov 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60245673WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Coaching & Counseling Group Mental Health CurrentSince Aug 2, 2020 Accepting new patients

Locations

24437 Russell Rd
Ste 230
Kent, WA 98032
Phone (206) 816-2706

119 Pelly Ave N
Renton, WA 98057
Phone (206) 388-8203

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1770959348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59284",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980582284",
            "telephone_number": "206-816-2706",
            "fax_number": "253-236-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24437 RUSSELL RD STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324950",
            "telephone_number": "206-816-2706",
            "fax_number": "253-852-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY-VANNOY",
        "first_name": "ADAIR",
        "middle_name": "LOUISE",
        "credential": "LMHC CMHS MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60245673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAIR",
            "last_name": "ELLISON",
            "middle_name": "LOUISE",
            "credential": "M.ED LMHC MHP CS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.