Active NPI
Lori A Mudge, MA, LMHCA
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1124448147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60418002
- Practice address
- 600 First Avenue, Suite 625
Seattle, WA 98104 - Phone
- (206) 218-5905
- NPI assigned
- Apr 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | MC60418002 | WA | Primary |
Addresses
Primary practice location
600 First Avenue, Suite 625
Seattle, WA 98104
Mailing address
600 First Avenue, Suite 625
Seattle, WA 98104
Phone (206) 218-5905
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC60418002 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1124448147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 FIRST AVENUE, SUITE 625",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-218-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 FIRST AVENUE, SUITE 625",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-218-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDGE",
"first_name": "LORI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60418002",
"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 Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.