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STEPHANIE DAWN ELLSWORTH
NPI 1114761756
Counselor - Mental Health in Vancouver, WA

Active since June 19, 2024
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661(360) 989-3743 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Dawn Ellsworth NPPES

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

STEPHANIE DAWN ELLSWORTH (NPI 1114761756) is an individual mental health provider in Vancouver, Washington, licensed in Washington (STUDENT) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1114761756
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE DAWN ELLSWORTH
Location Address1601 E 4TH PLAIN BLVDVancouver, WA 98661-3713
Mailing Address2177 37th StWashougal, WA 98671-9181 · (775) 742-5185
Phone(360) 989-3743
Sole ProprietorYes
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1114761756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · STUDENT
1601 E 4TH PLAIN BLVD, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA CUEVAS
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
CHARLENE PEDERSON CG
Counselor
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
ESMERALDA XOCHITL GARCIA SUDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BUILDING #17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. HAILEY ANNE LESLIE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MR. TREVOR C MILLER CTRS
Recreation Therapist
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-4061
DR. SUZANNE BEVERLEE MILLAR PHARM.D.
Pharmacist (Pharmacotherapy)
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (503) 220-8262
MRS. COURTNEY RENAE RARDIN BA
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MRS. BARBARA JEAN COLLERAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484

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 Stephanie Ellsworth's NPI number?

The NPI number for Stephanie Ellsworth is 1114761756. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Stephanie Ellsworth located?

Stephanie Ellsworth practices at 1601 E 4th Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 989-3743.

What is Stephanie Ellsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stephanie Ellsworth was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.