Individual provider Active NPI

Elora Binnie

  • Mental Health Counselor
  • Tumwater, WA
National Provider Identifier
1902263056
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60630887 Issued in WA
Practice address
6334 Littlerock Rd. SW BDG 6
Tumwater, WA 98512
Phone
(360) 704-7590
Fax
(360) 704-7591
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 CG60630887 WA Primary

Addresses

Primary practice location

6334 Littlerock Rd. SW BDG 6
Tumwater, WA 98512

Mailing address

6334 Littlerock Rd. SW BDG 6
Tumwater, WA 98512
Phone (360) 704-7590

Other practice location 1

5410 N 44th St
Tacoma, WA 98407-3715
Phone (253) 759-9544

Other identifiers 1

IdentifierTypeStateIssuer
1902263056MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 7, 2025 through Jul 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG60630887WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Forge Therapy PLLC Mental Health CurrentSince Oct 27, 2024 Accepting new patients

Locations

522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1902263056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD. SW BDG 6",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-704-7590",
            "fax_number": "360-704-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD. SW BDG 6",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-704-7590",
            "fax_number": "360-704-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984073715",
            "country_code": "US",
            "telephone_number": "253-759-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINNIE",
        "first_name": "ELORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60630887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902263056",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.