Healthcare Provider Details

I. General information

NPI: 1801124615
Provider Name (Legal Business Name): EMILY SUSAN NEMETH PA-C, LPC, CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65371 HWY 14
WHITE SALMON WA
98672-8690
US

IV. Provider business mailing address

2140 E COLUMBIA PL
DENVER CO
80210-6008
US

V. Phone/Fax

Practice location:
  • Phone: 509-493-2133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0016356
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70142479
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC2773
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: