Active NPI
Seed and Bloom Therapy PLLC
- Mental Health Counselor
- Lynnwood, WA
National Provider Identifier
1083391296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SEED AND BLOOM THERAPY PLLC
- Practice address
- 5005 200TH St SW Ste B
Lynnwood, WA 98036-6679 - Phone
- (425) 772-0707
- NPI assigned
- Jun 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole A Speaks, LMHCA
- Title
- Owner
- Phone
- (425) 772-0707
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5005 200TH St SW Ste B
Lynnwood, WA 98036-6679
Mailing address
16715 NE Woodinville Duvall Rd
Woodinville, WA 98072-6429
Phone (425) 772-0707
National Provider Directory
National Provider DirectoryPractitioners & 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": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1083391296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16715 NE WOODINVILLE DUVALL RD",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980726429",
"telephone_number": "425-772-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 200TH ST SW STE B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366679",
"telephone_number": "425-772-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEED AND BLOOM THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "SPEAKS",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-772-0707",
"authorized_official_credential": "LMHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.