ELLIE WILDE PHD
NPI 1538736814
Counselor - Mental Health in Seattle, WA
NPI Status: Active since June 07, 2021
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About ELLIE WILDE
This page provides the complete NPI Profile along with additional information for Ellie Wilde, a provider established in Seattle, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1538736814 assigned on June 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1538736814
- Provider Name
- ELLIE WILDE PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2012 NE 65TH ST SEATTLE, WA 98115
- Location Phone
- (425) 242-7187
- Mailing Address
- 3307 3RD AVE W SEATTLE, WA 98119
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-07-2021
- Last Update Date
- 04-23-2024
- Code Navigator
A mental health counselor like Ellie Wilde provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ellie Wilde opted out of Medicare effective on 03-19-2024 until 03-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-19-2024
Opt-Out End Date: 03-19-2026
Eligible to Order and Refer? No
Reviews for ELLIE WILDE PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 7 | 3 | 6 | 8 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 14 | 3 | 12 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 4 + 3 + 1 + 2 + 8 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1538736814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437110871 | NANCY JEAN CODE SR. MSW Individual | Social Worker (Clinical) | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 523-2171 |
| 1710054028 | MR. KENNETH RAY SMITH, JR. M.DIV., M.A. Individual | Counselor (Mental Health) | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 523-3202 |
| 1215072517 | JAN EISENHARDT M.A. Individual | Marriage & Family Therapist | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 523-9133 |
| 1710690391 | DIANE M WOLMAN MSW Individual | Social Worker (Clinical) | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 329-6133 |
| 1194898049 | MS. JUDITH C CANTOR MSW Individual | Social Worker (Clinical) | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 526-8137 |
| 1558840280 | AMANDA CLESS Individual | Counselor (Mental Health) | 2012 NE 65TH ST SEATTLE, WA 98115 (206) 484-8463 |
| 1306591789 | CARLOS DEL RIO Individual | Social Worker (Clinical) | 2012 NE 65TH ST SEATTLE, WA 98115 (503) 753-0102 |
| 1881426682 | BENAZIR SARDAR Individual | Counselor (Mental Health) | 2012 NE 65TH ST SEATTLE, WA 98115 (425) 242-7187 |
| 1174350854 | RHIANNON PARENT Individual | Counselor (Mental Health) | 2012 NE 65TH ST SEATTLE, WA 98115 (425) 242-7187 |
| 1770358244 | SARAH GRANDINETTI Individual | Counselor | 2012 NE 65TH ST SEATTLE, WA 98115 (425) 242-7187 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538736814, enumerated in the NPI registry as an "individual" on June 07, 2021
The provider is located at 2012 Ne 65th St Seattle, Wa 98115 and the phone number is (425) 242-7187
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
No, the provider signed an affidavit on March 19, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 19, 2026.
This NPI record was last updated on June 07, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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