MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) – Mental Health Counselor, NPI 1477658698

MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) is a healthcare provider. based in Des moines, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED.. They hold a License No. LH00004227 (WA). The NPI Number for MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) is 1477658698

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)
NPI
1477658698
Phone
(206) 870-1783
Address
19422 10TH AVE S
Enumeration Date
13 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3232057088
Graduation Year
1983 (43 years ago)
PAC ID
8022528702
Group Practice PAC ID
8921466228
Professional Enrollment ID
I20250611001971
Address ID
WA98584XXXXSHXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

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Provider Addresses for MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)

  • 19422, 10th Avenue South, North Hill, Des Moines, King County, Washington, 98148, United States

    DES MOINES, WA 981482263

    Phone: (206) 870-1783

    Type: Mailing

  • VA Medical Center - Seattle, 1660, South Columbian Way, South Seattle, Seattle, King County, Washington, 98108, United States

    SEATTLE, WA 981081532

    Phone: (206) 277-3057

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250611001971IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921466228View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerVA
Mental Health CounselorWV
Clinical Social WorkerVA
Clinical Social WorkerMD
Mental Health CounselorVA
Clinical Social WorkerSC

Reviews

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Frequently asked questions

What number should I use to identify MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) for billing?
Administrative and clinical systems typically use NPI 1477658698 for MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.).
Is MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)'s NPI status active today?
Active status means MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)?
NPPES ties MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) tied to Des Moines, Washington?
If you are local to Des Moines, Washington, MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.) may be relevant to your search.
Who maintains MR. GERALD (JERRY) ELLIOT BUTLER (M.ED.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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