Individual provider Active NPI

Terrie Eshom, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1174998678
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60754240 Issued in WA
Practice address
2743 California Ave SW Unit 100
Seattle, WA 98116-2495
Phone
(206) 419-2989
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 LH60754240 WA Primary
Mental Health Counselor 101YM0800X MC60553211 WA

Addresses

Primary practice location

2743 California Ave SW Unit 100
Seattle, WA 98116-2495

Mailing address

2743 California Ave SW Unit 100
Seattle, WA 98116-2495
Phone (206) 419-2989

Other identifiers 1

IdentifierTypeStateIssuer
MC60553211OtherWALIC # (LMHCA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 10, 2024 through Feb 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60754240WAMDMental Health Counselor
MC60553211WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1174998678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW UNIT 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495",
            "telephone_number": "206-419-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW UNIT 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495",
            "telephone_number": "206-419-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHOM",
        "first_name": "TERRIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60754240",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60553211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC # (LMHCA)",
            "identifier": "MC60553211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.