Active NPI
Breona Mendoza, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1114376985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60730117
- Practice address
- 9346 Beacon Ave S
Seattle, WA 98118-5413 - Phone
- (360) 421-2996
- NPI assigned
- Jun 12, 2016
- 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 | LH60730117 | WA | Primary |
Addresses
Primary practice location
9346 Beacon Ave S
Seattle, WA 98118-5413
Mailing address
9346 Beacon Ave S
Seattle, WA 98118-5413
Phone (360) 421-2996
Other practice location 1
534 N 74th St
Seattle, WA 98103-5135
Phone (360) 421-2996
Other practice location 2
2600 SW Thistle St
Seattle, WA 98126
Phone (206) 938-1360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contactme@colorful-therapy.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60730117 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1114376985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9346 BEACON AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981185413",
"telephone_number": "360-421-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 BEACON AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981185413",
"telephone_number": "360-421-2996"
}
],
"practiceLocations": [
{
"address_1": "534 N 74th St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981035135",
"country_code": "US",
"telephone_number": "360-421-2996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 SW Thistle St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98126",
"country_code": "US",
"telephone_number": "206-938-1360",
"fax_number": "206-935-6056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "BREONA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-12",
"last_updated": "2022-07-08",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60730117",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contactme@colorful-therapy.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9346 Beacon Ave S",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981185413",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.