Organization Active NPI

Mountain Peak Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1043855471
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOUNTAIN PEAK MENTAL HEALTH, PLLC
Practice address
1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104
Phone
(425) 620-3072
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Marla Brucken, ARNPNPI 1841546413
Title
Psychiatric Arnp/Managing Member
Phone
(425) 620-3072

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104

Mailing address

12345 Lake City Way NE # 422
Seattle, WA 98125-5401
Phone (425) 620-3072

National Provider Directory

National Provider Directory

Locations

10740 Meridian Ave N
Ste 104
Seattle, WA 98133
Phone (206) 365-1435

155 NE 100th St
Ste 220
Seattle, WA 98125
Phone (206) 522-3264

1424 NE 155th St
Ste 205
Shoreline, WA 98155
Phone (206) 361-2379

Practitioners & affiliated clinicians

Practitioners 1

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1043855471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 LAKE CITY WAY NE # 422",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255401",
            "telephone_number": "425-620-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NE 155TH ST STE 205",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557104",
            "telephone_number": "425-620-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAK MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BRUCKEN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "PSYCHIATRIC ARNP/MANAGING MEMBER",
        "authorized_official_telephone_number": "425-620-3072",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.