Sequoia Teen Counseling Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SEQUOIA TEEN COUNSELING CENTER LLC

Practice address

511 28TH Ave E
Seattle, WA 98112-4161

Phone

(206) 581-1087

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Andy Williamson

Title

Co-Director

Phone

(206) 430-3993

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Marie Little, MSW, LSWAIC

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1558073379
  NPD
• Elizabeth Nicole Tuck

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1346902723
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1205544624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 28TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124161",
            "telephone_number": "206-581-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 28TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124161",
            "telephone_number": "206-581-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA TEEN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "206-430-3993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jehuda Sepkuty, M.D.
• Gabriela Sepulveda
• Caitlin Elizabeth Sequeira
• Gina Sequeira, MD
• Sequoia Project PLLC
• Ethan Brett Seracka, LMFT
• Mikaela Serafin, MDIV, MA, LMHCA
• Kelly A Serafini, MA
• Jeffrey Burdette Serage, LMHC
• Makeda Seraile, LMP

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.