Individual provider Active NPI

Paula M Rovik, LMHC

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1942625868
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60365013 Issued in WA
Practice address
225 NW Lindvig Way
Suite 6
Poulsbo, WA 98370-6520
Phone
(360) 813-5502
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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 LH 60365013 WA Primary

Addresses

Primary practice location

225 NW Lindvig Way
Suite 6
Poulsbo, WA 98370-6520

Mailing address

21870 Apollo Dr NE
Poulsbo, WA 98370-6707
Phone (360) 813-5502

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

LicenseStateTypeSpecialty
LH 60365013WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1942625868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21870 APOLLO DR NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706707",
            "telephone_number": "360-813-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY",
            "address_2": "SUITE 6",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706520",
            "telephone_number": "360-813-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVIK",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60365013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.