NPIMap

Organization Active NPI

Sue Beckley, LMFT, Inc.

  • Adult Mental Health Clinic/Center
  • Everett, WA
National Provider Identifier
1093902017
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LF00001374 Issued in WA
Legal business name
SUE BECKLEY, LMFT, INC.
Practice address
2722 Colby Ave
Suite 706
Everett, WA 98201-3557
Phone
(425) 252-1049
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Beckley, M.ED.
Title
President
Phone
(425) 252-1049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LF00001374 WA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LF00001374 WA

Addresses

Primary practice location

2722 Colby Ave
Suite 706
Everett, WA 98201-3557

Mailing address

2722 Colby Ave
Suite 706
Everett, WA 98201-3557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1093902017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE",
            "address_2": "SUITE 706",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE",
            "address_2": "SUITE 706",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013557",
            "telephone_number": "425-252-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE BECKLEY, LMFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "BECKLEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-252-1049",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LF00001374",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "LF00001374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.