Individual provider Active NPI

Tomomi Ito, MA, LMHC, CDP

  • Mental Health Counselor
  • Redmond, WA
National Provider Identifier
1023353141
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60914208 Issued in WA
Practice address
7981 168TH Ave NE Ste 138
Redmond, WA 98052-0911
Phone
(425) 588-7046
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60214472 WA
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LH60914208 WA Primary

Addresses

Primary practice location

7981 168TH Ave NE Ste 138
Redmond, WA 98052-0911

Mailing address

7981 168TH Ave NE Ste 138
Redmond, WA 98052-0911
Phone (425) 588-7046

Other practice location 1

14270 NE 21st St
Bellevue, WA 98007-3720
Phone (425) 653-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60214472WAMDAddiction (Substance Use Disorder) Counselor
LH60914208WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Past Accepting new patients
Uw Counseling Center Mental Health Past Accepting new patients
Archway Counseling Mental Health Past Accepting new patients

Organizations & group practices 3

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1023353141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 138",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-588-7046",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 138",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-588-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14270 NE 21st St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073720",
            "country_code": "US",
            "telephone_number": "425-653-4900",
            "fax_number": "425-653-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITO",
        "first_name": "TOMOMI",
        "credential": "MA, LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60214472",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60914208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.