Seattle Mental Health Collective

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEATTLE MENTAL HEALTH COLLECTIVE

Doing business as

SeattleMHC

Practice address

12245 N Park Ave N
Seattle, WA 98133-8026

Phone

(206) 551-1464

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Miranda R Sullivan, LICSW,MSW,MHP,SUDPTNPI 1912521469

Title

Founder

Phone

(206) 551-1464

Specialties & licenses 1

Addresses

Other names 1

• SeattleMHC Doing business as

Practitioners 1

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

• Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1912521469
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1033951827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12245 N PARK AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338026",
            "telephone_number": "206-551-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12245 N PARK AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338026",
            "telephone_number": "206-551-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE MENTAL HEALTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-551-1464",
        "authorized_official_credential": "LICSW,MSW,MHP,SUDPT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeattleMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seattle LTC Consultants PLLC (Seattle LTC Consultants)
• Seattle Massage Pro
• Seattle Massage Pro LLC (Seattle Massage Sauna & Float)
• Seattle Medical and Wellness Clinic
• Seattle Medical Associates PLLP
• Seattle MFR, LLC (elements therapeutic massage)
• Seattle Natural Family & Sports Medicine PLLC
• Seattle Natural Family Medicine, PLLC (Seattle Natural Family Medicine)
• Seattle Natural Health, LLC
• Seattle Nature Cure Clinic

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.