NPIMap

Organization Active NPI

Capitol Lake Counseling

  • Marriage & Family Therapist
  • Olympia, WA
National Provider Identifier
1184904476
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002537 Issued in WA
Legal business name
CAPITOL LAKE COUNSELING
Practice address
1211 4TH Ave E
Suite 200
Olympia, WA 98506-4279
Phone
(360) 259-4500
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Matthew Gilbert, LMFTNPI 1720281488
Title
Owner
Phone
(360) 259-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LF00002537 WA Primary

Addresses

Primary practice location

1211 4TH Ave E
Suite 200
Olympia, WA 98506-4279

Mailing address

1211 4TH Ave E
Suite 200
Olympia, WA 98506-4279
Phone (360) 259-4500

National Provider Directory

National Provider Directory

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1184904476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064279",
            "telephone_number": "360-259-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064279",
            "telephone_number": "360-259-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL LAKE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-259-4500",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.