Individual provider Active NPI

Michelle Kim Diskin, MS

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1104381243
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60420736 Issued in WA
Practice address
5306 Ballard Ave NW Ste 403
Seattle, WA 98107-4367
Phone
(415) 828-4304
NPI assigned
Feb 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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 LH60420736 WA Primary

Addresses

Primary practice location

5306 Ballard Ave NW Ste 403
Seattle, WA 98107-4367

Mailing address

2044 N 77TH St
Seattle, WA 98103-4906
Phone (415) 828-4304

Other practice location 1

5210 Carillon Pt
Kirkland, WA 98033-7378
Phone (425) 658-3200

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 Science

State licenses

LicenseStateTypeSpecialty
LH60420736WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cadence Child and Adolescent Therapy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1104381243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 N 77TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034906",
            "telephone_number": "415-828-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 403",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074367",
            "telephone_number": "415-828-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Carillon Pt",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980337378",
            "country_code": "US",
            "telephone_number": "425-658-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "MICHELLE",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60420736",
            "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 Feb 3, 2019; 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.