Active NPI
Eitan Codish
- Professional Counselor
- Battle Ground, WA
National Provider Identifier
1861212367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R10171
- Practice address
- 24415 NE 219TH St
Battle Ground, WA 98604-9694 - Phone
- (503) 808-0373
- NPI assigned
- Oct 10, 2024
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R10171 | OR | Primary |
Addresses
Primary practice location
24415 NE 219TH St
Battle Ground, WA 98604-9694
Mailing address
24415 NE 219TH St
Battle Ground, WA 98604-9694
Phone (503) 808-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R10171 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1861212367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24415 NE 219TH ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049694",
"telephone_number": "503-808-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24415 NE 219TH ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049694",
"telephone_number": "503-808-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODISH",
"first_name": "EITAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-10-10",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R10171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.