JAMIE LEE ELLERTSEN CDP
NPI 1326511452
Counselor - Addiction (Substance Use Disorder) in Spokane Valley, WA

Active since January 11, 2019
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216(509) 232-5766(509) 321-5472 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie Lee Ellertsen Cdp NPPES

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

JAMIE LEE ELLERTSEN CDP (NPI 1326511452) is an individual addiction (substance use disorder) provider in Spokane Valley, Washington, licensed in Washington (CP60894277) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1326511452
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAMIE LEE ELLERTSENCredential: CDP
Location Address12715 E MISSION AVESpokane Valley, WA 99216-1027
Mailing Address12715 E Mission AveSpokane Valley, WA 99216-1027 · (509) 232-5766 · Fax (509) 321-5472
Fax(509) 321-5472
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
NPI 1326511452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60894277
12715 E MISSION AVE, Spokane Valley, WA 99216

Other Identifiers 1

Medicaid2077844WA

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.

Counselor (Mental Health)
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor (Addiction (Substance Use Disorder))
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor (Addiction (Substance Use Disorder))
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor (Addiction (Substance Use Disorder))
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor (Mental Health)
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Case Manager/Care Coordinator
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216
Counselor (Addiction (Substance Use Disorder))
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216

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 Jamie Ellertsen's NPI number?

The NPI number for Jamie Ellertsen is 1326511452. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Jamie Ellertsen located?

Jamie Ellertsen practices at 12715 E Mission Ave, Spokane Valley, WA 99216. The listed phone number is (509) 232-5766.

What is Jamie Ellertsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jamie Ellertsen was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.