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E'lon Mack

Counselor - Mental Health β€’ Vancouver, WA

Active NPI 1124658356 Individual Practitioner Male Practitioner
Practice location in NPPES

1498 Se Tech Center Pl Ste 300
Vancouver, WA 986835509

Call 3609311137 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

1498 Se Tech Center Pl Ste 300

Vancouver, WA 986835509

Telephone 3609311137
Organization at the Same NPPES Address or Phone
Real Life Counseling Pllc Facility NPI 1053782078

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

NPI first issued

2020

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 Vancouver and Washington

1,021 active clinicians are listed under Counselor - Mental Health with a practice address in Vancouver, WA (18,383 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vancouver

1.6% of these 1,021 clinicians have the CMS telehealth indicator.

5.7% of these 1,021 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

Self-certified to NPPES: 2026-09-03
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA MHC.LH.70119822
Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA MC61661558

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.

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

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location September 03, 2026

Registered at 1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 986835509 (Tel: 3609311137)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2026

Behavior Technician

πŸ“
Updated Practice Location March 17, 2025

Registered at 1498 SE TECH CENTER PL STE 180, VANCOUVER, WA 986835518 (Tel: 3609311137)

🏒
Secondary Practice Location Registered March 17, 2025

Additional practice office at 1675 SW Marlow Ave Ste 200, Portland, OR 972255102

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2025

Counselor

πŸ“
Updated Practice Location October 06, 2020

Registered at 9300 NE OAK VIEW DR, VANCOUVER, WA 986626157 (Tel: 3609311137)

πŸ“
Updated Business Mailing Address October 06, 2020

Registered at 5500 NE 89TH AVE, VANCOUVER, WA 986626057 (Tel: 3609311137)

βœ…
NPI Profile Active January 15, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 15, 2020

Registered at 1675 SW MARLOW AVE STE 200, PORTLAND, OR 972255102 (Tel: 8054437034)

πŸ“
Business Mailing Address (Initial Record) January 15, 2020

Registered at 1675 SW MARLOW AVE STE 200, PORTLAND, OR 972255102 (Tel: 8054437034)

πŸ‘€
Provider Name / Credentials (Initial Record) January 15, 2020

Recorded as E'LON MACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration January 15, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124658356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2020
Last Update: September 03, 2026
Sole Proprietor: Yes

Other Counselor - Mental Health Specialists in Vancouver

Healthcare providers in Vancouver

Mailing Address

5500 Ne 89th Ave

Vancouver, WA 986626057

Phone: 3609311137

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.