Maksim Tsymbalau, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60711517 Issued in WA

Practice address

3417 Evanston Ave N
Suite 307
Seattle, WA 98103-8626

Phone

(206) 602-0752

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Max Tsymbalau Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1225438997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 N 134TH ST",
            "address_2": "APT 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337800",
            "telephone_number": "206-602-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "address_2": "SUITE 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "206-602-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSYMBALAU",
        "first_name": "MAKSIM",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60711517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAX",
            "last_name": "TSYMBALAU",
            "credential": "MS, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wayne H Tsuji, MD
• Chisako Tsujino-Wells, LICSW
• Jessica K Tsukamoto, D.D.S.
• Kelsi Miya Tsukayama, ARNP
• Hristo Krassimirov Tsvetkov, M.D.
• Yana Tsyplakova, RDH
• Aaron Kha Tu
• Andre Tu
• Ann Tu, M.D., M.P.H
• Annie W. Tu, ARNP

• 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 Feb 3, 2017; 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.