MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) – Mental Health Counselor, NPI 1710059118

MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) is a healthcare provider. based in Tumwater, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, CRC, LMP-C. They hold a License No. MA15527 (WA). The NPI Number for MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) is 1710059118

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C)
NPI
1710059118
Phone
(360) 878-8538
Address
210 W ST SW
Enumeration Date
14 November 2006
Last Update Date
5 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256407009
Graduation Year
2014 (12 years ago)
PAC ID
6103278221
Group Practice PAC ID
4981872561
Professional Enrollment ID
I20240113000636
Address ID
WA986626772VA7600XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C)

  • 210, W Street Southwest, Tumwater, Thurston County, Washington, 98501, United States

    TUMWATER, WA 985015249

    Phone: (360) 878-8538

    Type: Mailing

  • 6926 NE 4TH PL BLVD

    VANCOUVER, WA 986663310

    Phone: (360) 993-3047

    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: 2024-01-13

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
I20240113000636IMental 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 98501)

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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: 4981872561View full group profile

Reviews

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Frequently asked questions

Where can patients find MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C)'s NPI?
You can confirm MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) with NPI 1710059118; it appears in the national provider directory.
Is MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) active in the national directory?
MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C)'s public NPI profile is in an active state.
What field does MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) work in?
You can think of MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) practice in Washington?
You will see Tumwater, Washington on file for MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) alongside any extra practice locations.
Is MS. LINDA ROSE DOUGLAS (MA, CRC, LMP-C) a real provider?
This page reflects official NPPES data for NPI 1710059118. Always confirm identity and privileges with the practice and licensing boards.

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