Organization Active NPI

Iaso Therapy and Consultation

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1164315859
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IASO THERAPY AND CONSULTATION
Practice address
2120 1St Ave N # 210
Seattle, WA 98109-2301
Phone
(206) 594-0574
NPI assigned
May 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Authorized official

Name
Nicole Davis-Westbrook, LMHC, SUDP
Title
Executive Director
Phone
(206) 594-0574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2120 1St Ave N # 210
Seattle, WA 98109-2301

Mailing address

2120 1St Ave N # 210
Seattle, WA 98109-2301
Phone (206) 594-0574

National Provider Directory

National Provider Directory

Locations

2120 1st Ave N
#210
Seattle, WA 98109
Phone (206) 460-3812

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": "1748649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1164315859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 1ST AVE N # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092301",
            "telephone_number": "206-594-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 1ST AVE N # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092301",
            "telephone_number": "206-594-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IASO THERAPY AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WESTBROOK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-594-0574",
        "authorized_official_credential": "LMHC, SUDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.