Individual provider Active NPI

Robert Lawrence McGuire, L.M.H.C.

  • Mental Health Counselor
  • Bothell, WA
National Provider Identifier
1053662551
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006846 Issued in WA
Practice address
10634 E Riverside Dr Ste 100
Bothell, WA 98011-3751
Phone
(425) 869-2644
Fax
(425) 867-0930
NPI assigned
Sep 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 LH00006846 WA Primary

Addresses

Primary practice location

10634 E Riverside Dr Ste 100
Bothell, WA 98011-3751

Mailing address

8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone (425) 869-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401003293 WA Practitioner - Mental Health Counselor 3870931546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Counseling Service PS Mental Health CurrentSince Feb 21, 2024 Accepting new patients

Locations

2122 112th Ave NE
Ste B200
Bellevue, WA 98004

10634 E Riverside Dr
Ste 100
Bothell, WA 98011
Phone 4258692644 ext. 0

8290 165th Ave NE
Redmond, WA 98052
Phone 425869264417

8275 166th Ave NE
Ste 200
Redmond, WA 98052
Phone 4258692644 ext. 17

8275 166th Ave NE
Ste 102
Redmond, WA 98052
Phone 42586926440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1053662551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 166TH AVE NE STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526629",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113751",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.