Individual provider Active NPI

Leyla Ruth Brown Welkin Haksar, PHD LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1194820092
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003439 Issued in WA
Practice address
4510 Thackeray PL NE
Seattle, WA 98105-4842
Phone
(206) 954-4629
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LH00003439 WA
Mental Health Counselor 101YM0800X LH00003439 WA Primary

Addresses

Primary practice location

4510 Thackeray PL NE
Seattle, WA 98105-4842

Mailing address

14906 Sunrise Dr NE
Bainbridge Island, WA 98110-1113
Phone (206) 954-4629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 16, 2024 through Dec 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH00003439WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leyla Welkin PHD LMHC PLLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

4510 Thackeray Pl NE
Seattle, WA 98105
Phone (206) 632-3268

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1194820092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14906 SUNRISE DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101113",
            "telephone_number": "206-954-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 THACKERAY PL NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054842",
            "telephone_number": "206-954-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKIN HAKSAR",
        "first_name": "LEYLA",
        "middle_name": "RUTH BROWN",
        "name_prefix": "Dr.",
        "credential": "PHD LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "LH00003439",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.