Active NPI
Autumn Fletcher
- Counselor
- Vancouver, WA
National Provider Identifier
1952021339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CAAR.CG.61348580
- Practice address
- 11801 NE 65TH St
Vancouver, WA 98662-5527 - Phone
- (360) 558-5790
- Fax
- (360) 558-5791
- NPI assigned
- Aug 29, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CAAR.CG.61348580 | WA | Primary |
Addresses
Primary practice location
11801 NE 65TH St
Vancouver, WA 98662-5527
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6603
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 |
|---|---|---|---|
| CAAR.CG.61348580 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1952021339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6603",
"fax_number": "206-764-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 NE 65TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986625527",
"telephone_number": "360-558-5790",
"fax_number": "360-558-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CAAR.CG.61348580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.