Active NPI
Christina Koepp, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1073949244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60878120
- Practice address
- 3403 SW Cloverdale St
Seattle, WA 98126-3734 - Phone
- (425) 440-1024
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH60878120. | ||
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MC60419745 | WA | |
| Mental Health Counselor | 101YM0800X | LH60878120 | WA | Primary |
Addresses
Primary practice location
3403 SW Cloverdale St
Seattle, WA 98126-3734
Mailing address
3403 SW Cloverdale St
Seattle, WA 98126-3734
Phone (425) 440-1024
Other practice location 1
6100 Southcenter Blvd
Ste. 300 Sound Mental Health
Tukwila, WA 98188-2442
Phone (206) 444-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60878120 | WA | MD | Mental Health Counselor |
| MC60419745 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1073949244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 SW CLOVERDALE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263734",
"telephone_number": "425-440-1024",
"fax_number": "206-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 SW CLOVERDALE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263734",
"telephone_number": "425-440-1024"
}
],
"practiceLocations": [
{
"address_1": "6100 Southcenter Blvd",
"address_2": "Ste. 300 Sound Mental Health",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981882442",
"country_code": "US",
"telephone_number": "206-444-7900",
"fax_number": "206-444-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOEPP",
"first_name": "CHRISTINA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "LH60878120.",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60419745",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60878120",
"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 Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.