Organization Active NPI

Moseman Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • University Place, WA
National Provider Identifier
1033697404
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LH60395966 Issued in WA
Legal business name
MOSEMAN COUNSELING
Practice address
4009 Bridgeport Way W Ste G5
University Place, WA 98466-4326
Phone
(206) 683-2200
NPI assigned
Jul 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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

Authorized official

Name
Christopher Moseman, MA, LMHCNPI 1689949596
Title
President
Phone
(206) 683-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LH60395966 WA Primary

Addresses

Primary practice location

4009 Bridgeport Way W Ste G5
University Place, WA 98466-4326

Mailing address

4009 Bridgeport Way W Ste G5
University Place, WA 98466-4326
Phone (206) 683-2200

Other identifiers 1

IdentifierTypeStateIssuer
1689949596MedicaidWA

National Provider Directory

National Provider Directory

Locations

4009 Bridgeport Way W
Ste G5
University Place, WA 98466
Phone (206) 683-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532822400000",
    "number": "1033697404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W STE G5",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326",
            "telephone_number": "206-683-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W STE G5",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326",
            "telephone_number": "206-683-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSEMAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A",
        "authorized_official_last_name": "MOSEMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-683-2200",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "LH60395966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689949596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.