Individual provider Active NPI

Michelle Ann Mooney, MA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1043759897
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61136916 Issued in WA
Practice address
1817 Queen Ave N Ste 204
Seattle, WA 98109-2876
Phone
(206) 901-2000
Fax
(206) 901-2010
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61136916 WA Primary

Addresses

Primary practice location

1817 Queen Ave N Ste 204
Seattle, WA 98109-2876

Mailing address

1817 Queen Ave N Ste 204
Seattle, WA 98109-2876
Phone (206) 901-2000

Other practice location 1

4719 12th Ave NE
Seattle, WA 98105-5414
Phone (206) 302-2200

Other practice location 2

1210 SW 136th St
Burien, WA 98166-1214
Phone (206) 257-6169

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
LH61136916WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1043759897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 QUEEN AVE N STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-901-2000",
            "fax_number": "206-901-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 QUEEN AVE N STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-901-2000",
            "fax_number": "206-901-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4719 12th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055414",
            "country_code": "US",
            "telephone_number": "206-302-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 SW 136th St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661214",
            "country_code": "US",
            "telephone_number": "206-257-6169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61136916",
            "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 Jun 23, 2021; 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.