Maple Leaf DBT, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004179 Issued in WA

Legal business name

MAPLE LEAF DBT, PLLC

Practice address

229 Broadway E
Room 8
Seattle, WA 98102-5787

Phone

(206) 372-8400

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Goettle, MA LMHC

Title

Lead Teacher

Phone

(206) 372-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1124563911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BROADWAY E",
            "address_2": "ROOM 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025787",
            "telephone_number": "206-372-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BROADWAY E",
            "address_2": "ROOM 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025787",
            "telephone_number": "206-372-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF DBT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "GOETTLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LEAD TEACHER",
        "authorized_official_telephone_number": "206-372-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ER-Jia Mao, DDS, PHD
• Jennie Mao, M.D.
• Jessica Y Mao
• Map Counseling
• Maple Hill Psychotherapy, Inc.
• Maple Leaf Healing Arts Clinic
• Maple Leaf Mental Health PLLC
• Kirsten Nicole Maples, LAC.
• Sara Beth Maples, CRNA
• Crystal Mappala, LMP

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.