| Real Life Counseling Pllc | |
|
1498 Se Tech Center Pl Ste 300 Vancouver WA 98683-5509 | |
| (360) 619-2226 | |
| (360) 326-9691 |
| Full Name | Real Life Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1498 Se Tech Center Pl Ste 300, Vancouver, Washington |
| Authorized Official Name and Position | Kim Watkins (CREDENTIALING & CONTRACTING SPECIAL) |
| Authorized Official Contact | 3606192226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Counseling Pllc 1498 Se Tech Center Pl Ste 300 Vancouver WA 98683-5509 Ph: (360) 619-2226 | Real Life Counseling Pllc 1498 Se Tech Center Pl Ste 300 Vancouver WA 98683-5509 Ph: (360) 619-2226 |
| NPI Number | 1053782078 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 6406156231 |
|---|---|
| Medicare Enrollment ID | O20151201002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053782078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph M Klemz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013130558 PECOS PAC ID: 9638311467 Enrollment ID: I20130807000809 |
| Provider Name | Justin L Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407052558 PECOS PAC ID: 0547587131 Enrollment ID: I20150319000002 |
| Provider Name | Sandi L Mcqueen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447687579 PECOS PAC ID: 7618240664 Enrollment ID: I20170913002218 |
| Provider Name | Kristen L Arntzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942722848 PECOS PAC ID: 9335485028 Enrollment ID: I20190117001115 |
| Provider Name | Eve S Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730519083 PECOS PAC ID: 3870831928 Enrollment ID: I20190214001921 |
| Provider Name | Christina A Gjesvold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891244976 PECOS PAC ID: 3072849249 Enrollment ID: I20190725001249 |
| Provider Name | Alexander Haldeman Cawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154981215 PECOS PAC ID: 8022453117 Enrollment ID: I20240228002842 |
| Provider Name | Mark Meadows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831865716 PECOS PAC ID: 0648615757 Enrollment ID: I20240228003724 |
| Provider Name | Julie Yang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033577945 PECOS PAC ID: 7810332947 Enrollment ID: I20240228004472 |
| Provider Name | Eva Ngare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265984769 PECOS PAC ID: 2365888211 Enrollment ID: I20240313003248 |
| Provider Name | Julianna S Hedberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417323023 PECOS PAC ID: 5890238992 Enrollment ID: I20240618000474 |
| Provider Name | Trudy M Ferguson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356680235 PECOS PAC ID: 8729521703 Enrollment ID: I20240618003730 |
| Provider Name | Melinda N Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467753590 PECOS PAC ID: 5193269777 Enrollment ID: I20240708001406 |
| Provider Name | Tani R Barr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194384693 PECOS PAC ID: 5890230403 Enrollment ID: I20240708002784 |
| Provider Name | Cachelle R Cronin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871913301 PECOS PAC ID: 6204373715 Enrollment ID: I20240801003208 |
| Provider Name | Lori Higgs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467039206 PECOS PAC ID: 0749727105 Enrollment ID: I20240802000883 |
| Provider Name | Darcy L Jacquet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366067803 PECOS PAC ID: 6507303971 Enrollment ID: I20240802001128 |
| Provider Name | Gilbert R Stuart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649798182 PECOS PAC ID: 6507303989 Enrollment ID: I20240802001790 |
| Provider Name | Cameron Wan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730762865 PECOS PAC ID: 1153868583 Enrollment ID: I20240802003336 |
| Provider Name | Kevin Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336747104 PECOS PAC ID: 5496292823 Enrollment ID: I20240802003494 |
| Provider Name | Andrea D Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164870473 PECOS PAC ID: 0840737136 Enrollment ID: I20240805001376 |
| Provider Name | Adam D Halvorsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144580432 PECOS PAC ID: 3971040262 Enrollment ID: I20240805001635 |
| Provider Name | Julie M Crofts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750939088 PECOS PAC ID: 9234676545 Enrollment ID: I20240805002149 |
| Provider Name | Anna C Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033557517 PECOS PAC ID: 6800333113 Enrollment ID: I20240805002440 |
| Provider Name | Patricia G Kuipers-dawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417310699 PECOS PAC ID: 6204373525 Enrollment ID: I20240805002727 |
| Provider Name | Eric L Lillibridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144683541 PECOS PAC ID: 5698212926 Enrollment ID: I20240805003099 |
| Provider Name | Lisa Bernardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851785471 PECOS PAC ID: 8921545013 Enrollment ID: I20240807001698 |
| Provider Name | Cheryl L Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720405343 PECOS PAC ID: 5193262145 Enrollment ID: I20240807004622 |
| Provider Name | Cynthia M Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336789429 PECOS PAC ID: 1456898402 Enrollment ID: I20240807004654 |
| Provider Name | Katelyn Favela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497117360 PECOS PAC ID: 7214475193 Enrollment ID: I20240812000792 |
| Provider Name | Penny L Vian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982054359 PECOS PAC ID: 0547791667 Enrollment ID: I20241001000473 |
| Provider Name | Michelle Karen Chamberlain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558000364 PECOS PAC ID: 1052842028 Enrollment ID: I20241001002565 |
| Provider Name | Daniel J Colon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669823589 PECOS PAC ID: 4587107735 Enrollment ID: I20241001002699 |
| Provider Name | Shannon Manuszewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730656240 PECOS PAC ID: 5092246074 Enrollment ID: I20241001002855 |
| Provider Name | Mitra M Motlagh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346631314 PECOS PAC ID: 5799216776 Enrollment ID: I20241001002983 |
| Provider Name | Trisha R Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689871048 PECOS PAC ID: 2860925476 Enrollment ID: I20241104001448 |
| Provider Name | Felicia M Ostrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881369148 PECOS PAC ID: 9739612359 Enrollment ID: I20241104001664 |
| Provider Name | Jessica A Summerville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770063646 PECOS PAC ID: 1557894177 Enrollment ID: I20241104001666 |
| Provider Name | Sikyin P Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841891389 PECOS PAC ID: 0143753764 Enrollment ID: I20241104001936 |
| Provider Name | Stephanie L Lyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407245202 PECOS PAC ID: 3870026495 Enrollment ID: I20241104001940 |
| Provider Name | Susanna Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720396286 PECOS PAC ID: 8022541648 Enrollment ID: I20241104002032 |
| Provider Name | Sonja B Vegdahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326653965 PECOS PAC ID: 0547793176 Enrollment ID: I20241104002176 |
Fletcher Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 292, Vancouver, WA 98684 Phone: 360-524-5879 Fax: 360-326-1834 | |
Sleep Health Clinic Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2501 Ne 134th St Ste 203, Vancouver, WA 98686 Phone: -- | |
Awaken Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4602 Ne 59th Ave, Vancouver, WA 98661 Phone: 503-410-3048 | |
Moontree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 Main St Ste 23, Vancouver, WA 98663 Phone: 360-949-2727 | |
Dale B Mortimer Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 Ne 7th Ave, Suite 385, Vancouver, WA 98685 Phone: 360-882-9058 Fax: 360-567-0861 |