Active NPI
Waterton Counseling PLLC
- Clinical Social Worker
- Woodinville, WA
National Provider Identifier
1164077582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WATERTON COUNSELING PLLC
- Practice address
- 17220 127TH PL NE Ste 101C
Woodinville, WA 98072-7965 - Phone
- (425) 298-5543
- NPI assigned
- Aug 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kandi Arnhold
- Title
- Administrative
- Phone
- (360) 770-2955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
17220 127TH PL NE Ste 101C
Woodinville, WA 98072-7965
Mailing address
13303 NE 175TH St Ste a
Woodinville, WA 98072-8503
Other names 1
- Waterton Counseling
National Provider Directory
National Provider DirectoryLocations
13303 NE 175th St
#A
Woodinville, WA 98072
Phone (253) 254-5126
17220 127th Pl NE
Ste 101C
Woodinville, WA 98072
Phone (425) 298-5543
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1164077582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13303 NE 175TH ST STE A",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980728503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 127TH PL NE STE 101C",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980727965",
"telephone_number": "425-298-5543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERTON COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-02",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "ARNHOLD",
"authorized_official_first_name": "KANDI",
"authorized_official_title_or_position": "ADMINISTRATIVE",
"authorized_official_telephone_number": "360-770-2955"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waterton Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Waterton Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.