Individual provider Active NPI

Amelia McCormick

  • Professional Counselor
  • Federal Way, WA
National Provider Identifier
1235660671
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
33455 6TH Ave S
Federal Way, WA 98003-6074
Phone
(253) 210-4230
Fax
(253) 308-2109
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

33455 6TH Ave S
Federal Way, WA 98003-6074

Mailing address

33455 6TH Ave S
Federal Way, WA 98003-6074
Phone (253) 210-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240426000748 WA Practitioner - Other (Non-Physician) 2163862947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians

Practice addresses (Care Compare)

7902 168TH Ave NE
Suite 101
Redmond, WA 98052-4445
Phone (425) 996-8592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lightheart Associates PS Professional CurrentSince Feb 11, 2024 Accepting new patients
Dr. Kathleen Worsley PastSince Feb 11, 2024 Accepting new patients

Locations

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

8301 161st Ave NE
Ste 202
Redmond, WA 98052
Phone (425) 658-2253

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1235660671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33455 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036074",
            "telephone_number": "253-210-4230",
            "fax_number": "253-308-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33455 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036074",
            "telephone_number": "253-210-4230",
            "fax_number": "253-308-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.