Trevor John Bidstrup, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61123470 Issued in WA

Practice address

122 25TH Ave Apt a
Seattle, WA 98122-6116

Phone

(206) 225-4592

NPI assigned

Oct 11, 2018

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Big Leap Medical Group of America P.a.

  • Psychiatry Physician
  • New York, NY
  • NPI 1720886807

  TX

  Medicare reassignment

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1225503683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 25TH AVE APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226116",
            "telephone_number": "206-225-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 25TH AVE APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226116",
            "telephone_number": "206-225-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDSTRUP",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61123470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "LH61123470",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR (LMHC)",
            "identifier": "LH61123470",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Margaret Bicknell, CNM, DNP
• Laura Elizabeth Bicknell, ARNP, FNP-C
• Ryan T Bicknell, M.D.
• Christine Joan Bickson, N.D.
• Bicycle Health Medical Group PA
• Karen L. Bidwell, ARNP
• Alisa Bieber, AGNP-C
• Danielle Frances Biechner, BCTMB
• Kevin D Biederman, D.D.S.
• Belinda Biedermann

• 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 Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.