DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP) – Mental Health Counselor, NPI 1679839575

DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP) is a healthcare provider. based in Everett, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, MA, BA, SUDP. They hold a License No. 175247 (). The NPI Number for DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP) is 1679839575

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)
NPI
1679839575
Phone
(425) 280-3168
Address
2312 LOMBARD AVE
Enumeration Date
4 April 2012
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253475121
Graduation Year
2019 (7 years ago)
PAC ID
4981052271
Group Practice PAC ID
4284891052
Professional Enrollment ID
I20231127003425
Address ID
WA982043889EV9930XWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

Provider Addresses for DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)

  • 2312 LOMBARD AVE

    EVERETT, WA 98201

    Phone: (425) 280-3168

    Type: Mailing

  • 9930 EVERGREEN WAY STE Z150

    EVERETT, WA 982043889

    Phone: (425) 347-5121

    Fax: (425) 353-6425

    Type: Mailing

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: 2023-11-27

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
I20231127003425IClinical PsychologistWATBD

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 98201)

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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: 4284891052View full group profile
NameSpecialtyState
Clinical PsychologistWA
Mental Health CounselorIL
Clinical Social WorkerWA
Mental Health CounselorWA
Clinical Social WorkerMN
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)?
NPI 1679839575 is assigned to DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP) under the national enumeration system.
Is DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)'s specialty in plain language?
Clinically, the directory lists DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP)?
The snapshot lists Everett, Washington for DR. ELIZABETH SCRIVEN (PSYD, MA, BA, SUDP); download NPPES for the complete set.
What if Everett, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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