Individual provider Active NPI

Stacie Alleen Harcus, MS, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1194150706
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60957136 Issued in WA
Practice address
3400 Harbor Ave SW Ste 409
Seattle, WA 98126-2398
Phone
(775) 830-0349
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 LH60957136 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3400 Harbor Ave SW Ste 409
Seattle, WA 98126-2398

Mailing address

6041 17TH Ave SW
Seattle, WA 98106-1466
Phone (775) 830-0349

Other practice location 1

9706 4th Ave NE Ste 303
Northgate
Seattle, WA 98115-2199
Phone (206) 302-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60957136WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1194150706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 17TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061466",
            "telephone_number": "775-830-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HARBOR AVE SW STE 409",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262398",
            "telephone_number": "775-830-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9706 4th Ave NE Ste 303",
            "address_2": "Northgate",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152199",
            "country_code": "US",
            "telephone_number": "206-302-2900",
            "fax_number": "206-302-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARCUS",
        "first_name": "STACIE",
        "middle_name": "ALLEEN",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60957136",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.