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Deactivated NPI 1801332952 Deactivated / Inactive NPI Female Practitioner

Nicole Eilertsen

Counselor • Aberdeen, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Eilertsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2017
NPI Deactivation Date September 23, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Nicole Eilertsen was a registered Counselor practicing in Aberdeen, WA. Throughout an active medical career spanning 2 years, Nicole Eilertsen provided care at the practice location at 1818 ABERDEEN AVE until profile deactivation on 2019-09-23.

Practice Location & Contact Primary Location

Practice Address

1818 Aberdeen Ave

Aberdeen, WA 985204624

Telephone 3605896725

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Aberdeen, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
121 Specialists

Practicing in Aberdeen, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG 60690880

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 23, 2019

Record deactivated on September 23, 2019

NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2017

Registered at 1818 ABERDEEN AVE, ABERDEEN, WA 985204624 (Tel: 3605896725)

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Updated Business Mailing Address January 12, 2017

Registered at 1818 ABERDEEN AVE, ABERDEEN, WA 985204624 (Tel: 3605896725)

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Provider Name / Credentials Updated January 12, 2017

Recorded as NICOLE EILERTSEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Counselor (License #CG 60690880 in WA)

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Initial NPI Registration & Enumeration January 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801332952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2017
Last Update: January 12, 2017
Deactivation Date: September 23, 2019

Mailing Address

1818 Aberdeen Ave

Aberdeen, WA 985204624

Phone: 3605896725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.