Individual provider Active NPI

Amy Hersh

  • Mental Health Counselor
  • Snoqualmie, WA
National Provider Identifier
1144937483
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61335512 Issued in WA
Practice address
8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935
Phone
(425) 842-3910
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61335512 WA Primary

Addresses

Primary practice location

8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935

Mailing address

5706 17TH Ave NW Unit 17509
Seattle, WA 98127-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 9, 2024 through Nov 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61335512WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Roots Wellness PLLC CurrentSince Nov 24, 2024 Accepting new patients
Courtney Bell, PLLC Mental Health CurrentSince Nov 6, 2022 Accepting new patients

Locations

108 S Jackson St
Ste 301
Seattle, WA 98104
Phone (206) 600-0647

5706 17th Ave NW
Unit 17509
Seattle, WA 98127

8226 Bracken Pl SE
Ste 200
Snoqualmie, WA 98065
Phone (206) 719-8230

Organizations & group practices 2

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1144937483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 17TH AVE NW UNIT 17509",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981271650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE STE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652935",
            "telephone_number": "425-842-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61335512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.