Individual provider Active NPI

Elizabeth Elliott, LMFT

  • Marriage & Family Therapist
  • Everett, WA
National Provider Identifier
1841574076
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60538336 Issued in WA
Practice address
2230 Rucker Ave
Everett, WA 98201-2772
Phone
(425) 322-9515
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60538336 WA Primary

Addresses

Primary practice location

2230 Rucker Ave
Everett, WA 98201-2772

Mailing address

2230 Rucker Ave
Everett, WA 98201-2772
Phone (425) 322-9515

Other identifiers 1

IdentifierTypeStateIssuer
ELLIOEA341KUOtherWADRIVER'S LICENSE

Other names 1

  • Elizabeth A Wahl 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 Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF60538336WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Counseling CurrentSince Aug 11, 2024 Accepting new patients

Locations

2230 Rucker Ave
Everett, WA 98201
Phone (425) 322-9515

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1841574076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012772",
            "telephone_number": "425-322-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012772",
            "telephone_number": "425-322-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60538336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "ELLIOEA341KU",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WAHL",
            "middle_name": "A",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.