Active NPI
Stefanie Lyn Callicotte, MA, LMHC
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1174977995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60858855
- Practice address
- 9320 Meadow Way
Everett, WA 98208-2432 - Phone
- (425) 535-2673
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60858855 | WA | Primary |
Addresses
Primary practice location
9320 Meadow Way
Everett, WA 98208-2432
Mailing address
9320 Meadow Way
Everett, WA 98208-2432
Phone (425) 535-2673
Other practice location 1
4526 Federal Ave
Everett, WA 98203-2132
Phone (425) 349-6200
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60858855 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1174977995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9320 MEADOW WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082432",
"telephone_number": "425-535-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 MEADOW WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082432",
"telephone_number": "425-535-2673"
}
],
"practiceLocations": [
{
"address_1": "4526 Federal Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032132",
"country_code": "US",
"telephone_number": "425-349-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLICOTTE",
"first_name": "STEFANIE",
"middle_name": "LYN",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60858855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.