Active NPI
Derek Kuiper, LMHCA
- Mental Health Counselor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61249974
- Practice address
- 320 NE 97TH St Ste a
Seattle, WA 98115-2042 - Phone
- (512) 786-6178
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61249974 | WA | Primary |
Addresses
Primary practice location
320 NE 97TH St Ste a
Seattle, WA 98115-2042
Mailing address
748 Market St Unit 54
Tacoma, WA 98402-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724
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": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1013681147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 MARKET ST UNIT 54",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 NE 97TH ST STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152042",
"telephone_number": "512-786-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUIPER",
"first_name": "DEREK",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61249974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.