Benjamin William Adams, M.A.
Individual provider Active NPI Mental Health Counselor · Edmonds, WA
NPI 1023487196 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1023487196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MC60555798 (WA)
- Practice address
- 406 Main St
Suite 111
Edmonds, WA 98020-3166 - Phone
- (206) 552-0562
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 14, 2026 through Jan 14, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60555798 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60555798 | WA | Yes |
Addresses
Primary practice location
406 Main St
Suite 111
Edmonds, WA 98020-3166
Mailing address
406 Main St
Suite 111
Edmonds, WA 98020-3166
Phone (206) 552-0562
Other providers in Edmonds, WA
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- Acupuncture Wellness NW LLC
- Stevie W Adamek
- Julie Karen Adams
- Adapt to Growth Therapy, PLLC
- Kary Melinda Addison
- Robert Adelman
- Trina M Ademofe
All providers in Edmonds, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.