ELIZABETH ROSE PECK
NPI 1801438106
Counselor - Mental Health in Vancouver, WA

Active since October 08, 2019
400 E EVERGREEN BLVD STE 102, VANCOUVER, WA 98660(360) 935-0644 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Rose Peck NPPES

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

ELIZABETH ROSE PECK (NPI 1801438106) is an individual mental health provider in Vancouver, Washington, licensed in Washington (MC61069022) and active in the NPI registry since October 2019. She maintains a secondary practice location in Bremerton.

NPPES Registry Identity

NPI1801438106
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH ROSE PECK
Location Address400 E EVERGREEN BLVD STE 102Vancouver, WA 98660-3263
Mailing Address400 E Evergreen Blvd Ste 102Vancouver, WA 98660-3263 · (360) 935-0644
Sole ProprietorYes
Enumeration DateOctober 8, 2019
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1801438106 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 · MC61069022
400 E EVERGREEN BLVD STE 102, Vancouver, WA 98660

Other Names 1

Professional Name (2)Ellie Rose Therapy

Secondary Practice Location 1

Location 15455 Almira Dr NEBremerton, WA 98311-8330 · Phone (360) 415-5870

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
400 E EVERGREEN BLVD STE 102
VANCOUVER, WA 98660

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 Elizabeth Peck's NPI number?

The NPI number for Elizabeth Peck is 1801438106. It was assigned to this individual provider in the NPPES registry on October 8, 2019. The provider is also known as Ellie Rose Therapy.

Where is Elizabeth Peck located?

Elizabeth Peck practices at 400 E Evergreen Blvd Ste 102, Vancouver, WA 98660. The listed phone number is (360) 935-0644.

What is Elizabeth Peck'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 Elizabeth Peck was last updated on June 13, 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.