Active NPI
Michelle Kim Diskin, MS
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1104381243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60420736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60420736 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Kirkland, WA
- NPI 1215288543
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.