Active NPI
Julie Watson, LMHCA
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1831703982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61031440
- Practice address
- 11802 NE 117TH Ave
Vancouver, WA 98662-1560 - Phone
- (360) 210-1704
- NPI assigned
- Sep 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61031440 | WA | Primary |
Addresses
Primary practice location
11802 NE 117TH Ave
Vancouver, WA 98662-1560
Mailing address
11802 NE 117TH Ave
Vancouver, WA 98662-1560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juliewatson@secure.chariscounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 16, 2024 through Dec 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61031440 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1831703982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11802 NE 117TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986621560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11802 NE 117TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986621560",
"telephone_number": "360-210-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JULIE",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61031440",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "juliewatson@secure.chariscounseling.com",
"affiliation": "N",
"address_1": "11802 NE 117th Ave",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986621560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.