Individual provider Active NPI

Amy Allyn, LMHC

  • Mental Health Counselor
  • Lake Stevens, WA
National Provider Identifier
1124485081
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61452052 Issued in WA
Practice address
3002 Catherine Dr
Lake Stevens, WA 98258-8074
Phone
(425) 477-9326
NPI assigned
Jan 24, 2016
Last updated
Jun 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61452052 WA Primary
Mental Health Counselor 101YM0800X MC61192970 WA

Addresses

Primary practice location

3002 Catherine Dr
Lake Stevens, WA 98258-8074

Mailing address

108 S Jackson St Ste 203
Seattle, WA 98104-2883
Phone (425) 477-9326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002771 WA Practitioner - Mental Health Counselor 6103350186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC61192970WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Navos CurrentSince Oct 21, 2024 Accepting new patients
Navos Mental Health CurrentSince Oct 21, 2024 Accepting new patients
Multicare Health System CurrentSince May 23, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 23, 2025 Accepting new patients
Lake Whatcom Residential & Treatment Center Mental Health PastSince Oct 27, 2007 Accepting new patients
Lake Whatcom Residential & Treatment Center Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1124485081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S JACKSON ST STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042883",
            "telephone_number": "425-477-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 CATHERINE DR",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588074",
            "telephone_number": "425-477-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLYN",
        "first_name": "AMY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61452052",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61192970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

Verify at the official NPI Registry.