Organization Active NPI

Waterton Counseling PLLC

  • Clinical Social Worker
  • Woodinville, WA
National Provider Identifier
1164077582
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 17, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.