Individual provider Active NPI

Carissa L Coslow, LMHCA

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1073239497
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.61688356 Issued in WA
Practice address
20102 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6333
Phone
(425) 338-7589
Fax
(425) 771-8400
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 MHC.LH.61688356 WA Primary

Addresses

Primary practice location

20102 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6333

Mailing address

16410 36TH Ave W Apt D103
Lynnwood, WA 98037-7002

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
I20251226001883 WA Practitioner - Mental Health Counselor 4284120452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20102 Cedar Valley Rd
Suite 204
Lynnwood, WA 98036-6392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC.LH.61688356WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Olson LMHC LLC Mental Health CurrentSince Dec 1, 2025 Accepting new patients

Locations

20102 Cedar Valley Rd
Ste 204
Lynnwood, WA 98036
Phone (425) 280-0002

Organizations & group practices 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1073239497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 36TH AVE W APT D103",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20102 CEDAR VALLEY RD STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366333",
            "telephone_number": "425-338-7589",
            "fax_number": "425-771-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSLOW",
        "first_name": "CARISSA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.61688356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.