Individual provider Active NPI

Angela Magdalena Fruhner, MSNCHP, LMHC, RDN

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1013439074
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9805 NE 116TH Street
PMB# A325
Kirkland, WA 98034
Phone
(425) 298-3114
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X WA
Mental Health Counselor 101YM0800X WA Primary
Nutrition Education Nutritionist 133NN1002X WA

Addresses

Primary practice location

9805 NE 116TH Street
PMB# A325
Kirkland, WA 98034

Mailing address

9805 NE 116TH Street
PMB# A325
Kirkland, WA 98034

Other practice location 1

12835 Bel-Red Rd
Bldg. 100, Suite 145
Bellevue, WA 98005
Phone (425) 460-7114

Other practice location 2

9757 NE Juanita Dr Ste 206
Kirkland, WA 98034
Phone (425) 242-6267

Other practice location 3

9757 NE Juanita Dr Ste 206
Kirkland, WA 98034
Phone (425) 242-6267

Other practice location 4

11639 91st Ln NE Apt 4
Kirkland, WA 98034-6106
Phone (425) 298-3114

Other practice location 5

9805 NE 116th Street
PMB# A325
Kirkland, WA 98034
Phone (425) 298-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 15, 2024 through Aug 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vivomomentis, PS Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1013439074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 NE 116TH STREET",
            "address_2": "PMB# A325",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 NE 116TH STREET",
            "address_2": "PMB# A325",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-298-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12835 Bel-Red Rd",
            "address_2": "Bldg. 100, Suite 145",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98005",
            "country_code": "US",
            "telephone_number": "425-460-7114",
            "fax_number": "425-460-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9757 NE Juanita Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "98034",
            "country_code": "US",
            "telephone_number": "425-242-6267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9757 NE Juanita Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "98034",
            "country_code": "US",
            "telephone_number": "425-242-6267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11639 91st Ln NE Apt 4",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346106",
            "country_code": "US",
            "telephone_number": "425-298-3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9805 NE 116th Street",
            "address_2": "PMB# A325",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "98034",
            "country_code": "US",
            "telephone_number": "425-298-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUHNER",
        "first_name": "ANGELA",
        "middle_name": "MAGDALENA",
        "credential": "MSNCHP, LMHC, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.