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REAL LIFE COUNSELING PLLC
NPI 1053782078
Social Worker - Clinical in Vancouver, WA

Active since October 16, 2015
1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683(360) 619-2226(360) 326-9691 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2024, Oct 17, 2022 (2 updates tracked since 2022).

About Real Life Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAL LIFE COUNSELING PLLC (NPI 1053782078) is a healthcare organization registered as a clinical in Vancouver, Washington and active in the NPI registry since October 2015. The organization maintains 3 additional practice locations and lists Kim Watkins, Credentialing & Contracting Special, as its authorized official.

NPPES Registry Identity

NPI1053782078
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREAL LIFE COUNSELING PLLC
Location Address1498 SE TECH CENTER PL STE 300Vancouver, WA 98683-5509
Mailing Address1498 Se Tech Center Pl Ste 300Vancouver, WA 98683-5509 · (360) 619-2226 · Fax (360) 326-9691
Phone(360) 619-2226
Fax(360) 326-9691
Organization SubpartNo
Authorized OfficialKim WatkinsCredentialing & Contracting Special · (360) 619-2226
Enumeration DateOctober 16, 2015
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1053782078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1498 SE TECH CENTER PL STE 300, Vancouver, WA 98683
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13606 Main St Ste 205Vancouver, WA 98663-2235 · Phone (360) 619-2226 · Fax (360) 326-9691
Location 2105 W Main St Ste 205Battle Ground, WA 98604-4483 · Phone (360) 619-2226 · Fax (360) 326-9691
Location 32501 NE 134th St Ste 201Vancouver, WA 98686-3028 · Phone (360) 619-2226 · Fax (360) 326-9691

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Real Life Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Real Life Counseling PLLC, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 48 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Mental Health Counselor36
Clinical Social Worker14
Marriage and Family Therapist4

Nearest to this location (20)

See all 54
Kristen Arntzen, LCSW
Clinical Social Worker
NPI 1942722848
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOS✔ Accepts MedicareSame address
Aaron Brandt
Mental Health Counselor
NPI 1104409531
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 200-8670
✔ PECOSSame address
Alexander Cawley, LICSW
Clinical Social Worker
NPI 1154981215
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 513-0519
✔ PECOSSame address
Daniel Colon, MSW, MHP
Mental Health Counselor
NPI 1669823589
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 450-7976
✔ PECOSSame address
Andrea Davis, MA
Marriage and Family Therapist
NPI 1164870473
1498 SE TECH CENTER PL STE 180
Vancouver, WA 98683
(360) 619-2226
✔ PECOS✔ Accepts MedicareSame address
Daphne Eck Coppock, #LW70026366
Clinical Social Worker
NPI 1255014692
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Corey Fadenrecht, LPC, LMHC
Mental Health Counselor
NPI 1669768370
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Justin Farrell, MSW
Clinical Social Worker
NPI 1407052558
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Trudy Ferguson, LMFT
Marriage and Family Therapist
NPI 1356680235
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Christina Gjesvold, LICSW
Clinical Social Worker
NPI 1891244976
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Adam Halvorsen, MACP, LMHC, CDP, CPS
Mental Health Counselor
NPI 1144580432
1498 SE TECH CENTER PL STE 180
Vancouver, WA 98683
(360) 619-2226
✔ PECOS✔ Accepts MedicareSame address
Lori Higgs, LMHC
Mental Health Counselor
NPI 1467039206
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Darcy Jacquet
Mental Health Counselor
NPI 1366067803
1498 SE TECH CENTER PL
Vancouver, WA 98683
(360) 619-2226
✔ PECOS✔ Accepts MedicareSame address
Melinda Johnson, M.A., PH.D.
Mental Health Counselor
NPI 1467753590
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Scott Jones
Mental Health Counselor
NPI 1114611472
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 567-2200
✔ PECOSSame address
Joseph Klemz, LICSW
Clinical Social Worker
NPI 1013130558
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Stephanie Lyle, LICSW, LCSW
Clinical Social Worker
NPI 1407245202
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 910-3276
✔ PECOS✔ Accepts MedicareSame address
Sandi Mcqueen, MSW
Clinical Social Worker
NPI 1447687579
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Tyler Moore, LMFT
Marriage and Family Therapist
NPI 1508426537
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
Julia Swanson, LMFT
Marriage and Family Therapist
NPI 1164891982
1498 SE TECH CENTER PL
Vancouver, WA 98683
(360) 619-2226
✔ PECOSSame address
See all 54 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Real Life Counseling PLLC's NPI number?

The NPI number for Real Life Counseling PLLC is 1053782078. It was assigned to this organization in the NPPES registry on October 16, 2015.

Where is Real Life Counseling PLLC located?

Real Life Counseling PLLC is located at 1498 SE Tech Center Pl Ste 300, Vancouver, WA 98683. The listed phone number is (360) 619-2226.

What is Real Life Counseling PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Real Life Counseling PLLC enrolled in Medicare?

Yes. Real Life Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Real Life Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 3 Medicare specialties reassign their Medicare billing to Real Life Counseling PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (36), Clinical Social Worker (14) and Marriage and Family Therapist (4). Of these, 44 practice at this address and 48 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Real Life Counseling PLLC accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Real Life Counseling PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Real Life Counseling PLLC was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.