Active NPI
Clarice Nicole Boone, MAED
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1184169054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61655445
- Practice address
- 2208 NW Market St Ste 307
Seattle, WA 98107-4047 - Phone
- (206) 627-0062
- NPI assigned
- Dec 30, 2016
- Reactivated
- Aug 30, 2023
- 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 | LH61655445 | WA | Primary |
Addresses
Primary practice location
2208 NW Market St Ste 307
Seattle, WA 98107-4047
Mailing address
2208 NW Market St Ste 307
Seattle, WA 98107-4047
Phone (206) 627-0062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 31, 2025 through Mar 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61655445 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1184169054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 NW MARKET ST STE 307",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074047",
"telephone_number": "206-627-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 NW MARKET ST STE 307",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074047",
"telephone_number": "206-627-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "CLARICE",
"middle_name": "NICOLE",
"credential": "MAED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-30",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"deactivation_date": "2023-08-18",
"reactivation_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61655445",
"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 Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.