Organization Active NPI

Olive Tree Healing Arts

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1205189362
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009302 Issued in WA
Legal business name
OLIVE TREE HEALING ARTS
Practice address
2018 156TH Ave NE
Bellevue, WA 98007-3825
Phone
(425) 920-8008
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Karen Gorrin
Title
Owner
Phone
(425) 920-8008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00009302 WA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60205940 WA

Addresses

Primary practice location

2018 156TH Ave NE
Bellevue, WA 98007-3825

Mailing address

2018 156TH Ave NE
Bellevue, WA 98007-3825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1205189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "425-920-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "GORRIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-920-8008"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009302",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60205940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.