Carol Ruth Missel, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60169454 Issued in WA

Practice address

10116 Main St Ste 104
Bothell, WA 98011-3448

Phone

(206) 319-4557

Fax

(206) 319-4557

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carol Ruth Carson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1235409004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 MAIN ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113448",
            "telephone_number": "206-319-4557",
            "fax_number": "206-319-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 MAIN ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113448",
            "telephone_number": "206-319-4557",
            "fax_number": "206-319-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSEL",
        "first_name": "CAROL",
        "middle_name": "RUTH",
        "credential": "MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60169454",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MC60169454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CARSON",
            "middle_name": "RUTH",
            "credential": "MA, LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Miller, ARNP
• James A Miller Jr., M.D.
• Kelsey M Miller, MS
• Rachel Miller, LMP
• Lauren Grace Minor
• Shirly Mittelman, MDN, RN, IBCLC
• Zasembo Taylor Mkhize
• Qiong Mo
• Mobile in-Home PT PLLC
• Fineas Mocan

• Mental Health Counselor in Bothell, WA
• Providers in Bothell, 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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.