Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health & Services Washington

Organization Mental Health Counselor · NPI 1619176997

Providence Health & Services Washington is a Mental Health Counselor in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
10
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Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 491-9480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 313007977 (WA)
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Social Worker Taxonomy 104100000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1619176997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
NPI enumeratedJuly 16, 2007
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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