Individual provider Active NPI

Christy Renee Siemons, M.A.

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1104080894
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00047773 Issued in WA
Practice address
4807 196TH St SW
Ste 100
Lynnwood, WA 98036-6430
Phone
(425) 774-4269
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 RC00047773 WA Primary

Addresses

Primary practice location

4807 196TH St SW
Ste 100
Lynnwood, WA 98036-6430

Mailing address

13118 67TH Ave SE
Snohomish, WA 98296-8677
Phone (425) 316-9363

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RC00047773WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1104080894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 67TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968677",
            "telephone_number": "425-316-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 196TH ST SW",
            "address_2": "STE 100",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366430",
            "telephone_number": "425-774-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMONS",
        "first_name": "CHRISTY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00047773",
            "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 Jul 11, 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.