Active NPI
Courtney Lynn Butler, CDPT
- Mental Health Counselor
- Skokomish Nation, WA
National Provider Identifier
1871152843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 100 N Tribal Center Rd
Skokomish Nation, WA 98584-9748 - Phone
- (360) 426-5755
- Fax
- (360) 877-2090
- NPI assigned
- Jun 12, 2019
- 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 | Primary |
Addresses
Primary practice location
100 N Tribal Center Rd
Skokomish Nation, WA 98584-9748
Mailing address
100 N Tribal Center Rd
Skokomish Nation, WA 98584-9748
Phone (360) 426-5755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10141949 | Other | WA | INDIAN HEALTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1871152843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N TRIBAL CENTER RD",
"city": "SKOKOMISH NATION",
"state": "WA",
"postal_code": "985849748",
"telephone_number": "360-426-5755",
"fax_number": "360-877-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N TRIBAL CENTER RD",
"city": "SKOKOMISH NATION",
"state": "WA",
"postal_code": "985849748",
"telephone_number": "360-426-5755",
"fax_number": "360-877-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIAN HEALTH",
"identifier": "10141949",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokomish Nation, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.