Individual provider Active NPI

Aude Geltzer, M.A, L.M.H.C A.

  • Mental Health Counselor
  • Mercer Island, WA
National Provider Identifier
1154733541
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60868909 Issued in WA
Practice address
5803 80TH Ave SE
Mercer Island, WA 98040-4835
Phone
(206) 612-1719
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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 60430476 WA
Mental Health Counselor 101YM0800X LH60868909 WA Primary

Addresses

Primary practice location

5803 80TH Ave SE
Mercer Island, WA 98040-4835

Mailing address

5803 80TH Ave SE
Mercer Island, WA 98040-4835
Phone (206) 612-1719

Other practice location 1

1300 114th Ave SE
Bellevue, WA 98004-6942
Phone (206) 612-1719

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

LicenseStateTypeSpecialty
60430476WAMDMental Health Counselor
LH60868909WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1154733541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 80TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404835",
            "telephone_number": "206-612-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 80TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404835",
            "telephone_number": "206-612-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 114th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046942",
            "country_code": "US",
            "telephone_number": "206-612-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELTZER",
        "first_name": "AUDE",
        "credential": "M.A, L.M.H.C A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60430476",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60868909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.