Otterson Counseling PS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OTTERSON COUNSELING PS

Practice address

720 Main St Ste 224
Mount Vernon, WA 98273-3830

Phone

(360) 631-8050

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann OttersonNPI 1881872240

Title

Owner

Phone

(360) 631-0949

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Otterson, MSW, LICSW

  • Clinical Social Worker
  • Mount Vernon, WA
  • NPI 1881872240
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1922567759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19213 SOUNDVIEW DR NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927878",
            "telephone_number": "360-631-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST STE 224",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733830",
            "telephone_number": "360-631-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERSON COUNSELING PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "OTTERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-631-0949"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Osborne, PHARM-D
• Sharon A. Osea, MD
• Alina Yakivna Ostapchuk, ARNP
• Dana Eric Otterholt, D.D.S.
• Victoria Tucker Otterholt, D.D.S.
• Elizabeth Ann Otterson, MSW, LICSW
• Joseph Ottolenghi
• Todd R Ouellette, ARNP
• Deborah Suzanne Owens, ARNP
• Brianne Michelle Owings, ARNP

• Clinical Social Worker in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.