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Marcel Anton Ettesvold

Peer Specialist β€’ Kennewick, WA

Active NPI 1669949368 Individual Practitioner Male Practitioner
Practice location in NPPES

3321 W Kennewick Ave Ste 150
Kennewick, WA 993362968

Call 5097832085 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3321 W Kennewick Ave Ste 150

Kennewick, WA 993362968

Telephone 5097832085
Organization at the Same NPPES Address or Phone
Lutheran Community Services Northwest Facility NPI 1609078658

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kennewick and Washington

99 active clinicians are listed under Peer Specialist with a practice address in Kennewick, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kennewick

0% of these 99 clinicians have the CMS telehealth indicator.

0% of these 99 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CG60817318

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jayme Finch , LCSW

Social Worker

NPI 1447726237

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 29, 2019

Registered at 3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 993362968 (Tel: 5097832085)

πŸ“
Updated Business Mailing Address August 29, 2019

Registered at 3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 993362968 (Tel: 5097356446)

βœ…
NPI Profile Active October 31, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 31, 2018

Registered at 5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 992081122 (Tel: 5098384651)

πŸ“
Business Mailing Address (Initial Record) October 31, 2018

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

πŸ‘€
Provider Name / Credentials (Initial Record) October 31, 2018

Recorded as MARCEL ETTESVOLD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2018

Peer Specialist (license number reported to NPPES: WA CG60817318)

🟒
Initial NPI Registration & Enumeration October 31, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669949368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2018
Last Update: August 29, 2019
Sole Proprietor: Yes

Mailing Address

3321 W Kennewick Ave Ste 150

Kennewick, WA 993362968

Phone: 5097356446

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.