Individual provider Active NPI

Betty Ann Danielson Addington, LMHC

  • Mental Health Counselor
  • Tumwater, WA
National Provider Identifier
1083899470
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009740 Issued in WA
Practice address
1610 Bishop Rd SW
Suite 105
Tumwater, WA 98512-7303
Phone
(360) 352-1052
Fax
(360) 352-0956
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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 LH00009740 WA Primary

Addresses

Primary practice location

1610 Bishop Rd SW
Suite 105
Tumwater, WA 98512-7303

Mailing address

PO Box 4141
Tumwater, WA 98501-0141
Phone (360) 352-1052

Other identifiers 1

IdentifierTypeStateIssuer
LH00009740OtherWAWASHINGTON STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00009740WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Perspectives Inc Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1083899470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4141",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985010141",
            "telephone_number": "360-352-1052",
            "fax_number": "360-352-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW",
            "address_2": "SUITE 105",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-352-1052",
            "fax_number": "360-352-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON ADDINGTON",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "LH00009740",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.