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MS. ELLEN SOUKUP MS, PH.D.
NPI 1558747543
Psychologist - Clinical in Arlington, WA

Active since August 03, 2015Opted out of Medicare · through May 19, 2027
17825 59TH AVE NE STE B, ARLINGTON, WA 98223(360) 363-4234(360) 363-4235 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2022, Jun 4, 2019, May 8, 2019 (3 updates tracked since 2019).

About Ms. Ellen Soukup Ms, Ph.d. NPPES

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

MS. ELLEN SOUKUP MS, PH.D. (NPI 1558747543) is an individual clinical provider in Arlington, Washington, licensed in Washington (PY60945604) and active in the NPI registry since August 2015. She has opted out of Medicare through May 19, 2027.

NPPES Registry Identity

NPI1558747543
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMS. ELLEN SOUKUPCredential: MS, PH.D.
Location Address17825 59TH AVE NE STE BArlington, WA 98223-6453
Mailing Address1270 Natividad RoadSalinas, CA 93901 · (831) 796-1500
Phone(360) 363-4234
Fax(360) 363-4235
Sole ProprietorYes
Enumeration DateAugust 3, 2015
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1558747543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY60945604
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
17825 59TH AVE NE STE B, Arlington, WA 98223
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Ellen Soukup Ms, Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2025 through May 19, 2027.

Opt-Out Effective DateMay 19, 2025
Opt-Out In Effect ThroughMay 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

TAYA RICHINS-PATTY
Occupational Therapy Assistant
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
ALEXIS J. LOWE
Student in an Organized Health Care Education/Training Program
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
MS. CHANTEL L BUSS STUDENT
Student in an Organized Health Care Education/Training Program
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
ROBERT MATHEW STEWART
Student in an Organized Health Care Education/Training Program
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
HELEN FRITZE
Occupational Therapy Assistant
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
MRS. VANESSA NICOLE ZOLLER
Student in an Organized Health Care Education/Training Program
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
TYLER POTZLER
Student in an Organized Health Care Education/Training Program
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234
ALISHA SHEA HOBSON
Behavior Technician
17825 59TH AVE NE STE B
ARLINGTON, WA 98223
Snohomish County (360) 363-4234

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 Ellen Soukup's NPI number?

The NPI number for Ellen Soukup is 1558747543. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Ellen Soukup located?

Ellen Soukup practices at 17825 59th Ave NE Ste B, Arlington, WA 98223. The listed phone number is (360) 363-4234.

What is Ellen Soukup's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ellen Soukup enrolled in Medicare?

No. Ellen Soukup has opted out of Medicare through May 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Soukup was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.