Active NPI
Courtney Elizabeth Oliver, CDP LMHC
- Addiction (Substance Use Disorder) Counselor
- Kingston, WA
National Provider Identifier
1992973754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60131559
- Practice address
- 31912 Little Boston Rd NE
Port Gamble Sklallam Tribe
Kingston, WA 98346-9700 - Phone
- (360) 297-6329
- Fax
- (360) 297-9678
- NPI assigned
- Feb 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60317284 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60131559 | WA | Primary |
Addresses
Primary practice location
31912 Little Boston Rd NE
Port Gamble Sklallam Tribe
Kingston, WA 98346-9700
Mailing address
31912 Little Boston Rd NE
Port Gamble Sklallam Tribe
Kingston, WA 98346-9700
Phone (360) 297-6329
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 |
|---|---|---|---|
| CP60131559 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH60317284 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Gamble S'Klallam Tribe | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Kingston, WA
- NPI 1760428650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1992973754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31912 LITTLE BOSTON RD NE",
"address_2": "PORT GAMBLE SKLALLAM TRIBE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469700",
"telephone_number": "360-297-6329",
"fax_number": "360-297-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31912 LITTLE BOSTON RD NE",
"address_2": "PORT GAMBLE SKLALLAM TRIBE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469700",
"telephone_number": "360-297-6329",
"fax_number": "360-297-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "CDP LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60317284",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60131559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.