Individual provider Active NPI

Aaron Douglas McNabb, M.S.

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1952472649
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00049825 Issued in WA
Practice address
9300 NE Oak View Dr Ste B
Vancouver, WA 98662-6157
Phone
(360) 751-6731
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 RC00049825 WA Primary

Addresses

Primary practice location

9300 NE Oak View Dr Ste B
Vancouver, WA 98662-6157

Mailing address

945 11TH Ave
Suite B
Longview, WA 98632-2555
Phone (360) 414-8600

Other identifiers 3

IdentifierTypeStateIssuer
TAX IDOtherWA91-1854138
REGISTERED COUNSELOROtherWARC00049825
L & I CRIME VICTIMSOtherWA8940693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001209 WA Practitioner - Mental Health Counselor 3870936552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

Olympia, WA 98502
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RC00049825WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2103 Harrison Ave NW
Olympia, WA 98502

2103 Harrison Ave NW
Ste 2
Olympia, WA 98502

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1952472649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 11TH AVE",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322555",
            "telephone_number": "360-414-8600",
            "fax_number": "360-636-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE OAK VIEW DR STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626157",
            "telephone_number": "360-751-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNABB",
        "first_name": "AARON",
        "middle_name": "DOUGLAS",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00049825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "91-1854138",
            "identifier": "TAX ID",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RC00049825",
            "identifier": "REGISTERED COUNSELOR",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8940693",
            "identifier": "L & I CRIME VICTIMS",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.