Individual provider Active NPI

Timothy J. Hoekstra, MS, LCPC, LMHC, MBA

  • Mental Health Counselor
  • Wenatchee, WA
National Provider Identifier
1184889248
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009017 Issued in WA
Practice address
600 Orondo Ave
Wenatchee, WA 98801-2800
Phone
(509) 664-3530
NPI assigned
Jul 28, 2008
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-3135 ID
Mental Health Counselor 101YM0800X LH00009017 WA Primary

Addresses

Primary practice location

600 Orondo Ave
Wenatchee, WA 98801-2800

Mailing address

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 664-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024000316 ID Practitioner - Mental Health Counselor 1254685019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Psychiatric Services LLCGroup PAC ID 4082968599, 13 clinicians

Practice addresses (Care Compare)

1000 N Curtis Rd
Suite 202
Boise, ID 83706-1346
Phone (208) 283-7314

280 E Corporate Dr
Suite 200
Meridian, ID 83642-2953
Phone (208) 283-7314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
LH00009017WAMDMental Health Counselor
LCPC-3135IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Realize Behavioral Health, LLC Mental Health Current Accepting new patients
Dynovion Cognitive Wellness, LLC Mental Health Current Accepting new patients
Lifeways, Inc PastSince Feb 1, 2018 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1184889248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-664-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-664-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "credential": "MS, LCPC, LMHC, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3135",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.