Active NPI
Cecile Culp Mielenz, PH.D.
- Mental Health Counselor
- Woodinville, WA
National Provider Identifier
1245494749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60032258
- Practice address
- 17220 127TH PL NE Ste 103
Sunridge Professional Center
Woodinville, WA 98072-7965 - Phone
- (425) 318-0062
- Fax
- (360) 387-7734
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 60032258 | WA | Primary |
Addresses
Primary practice location
17220 127TH PL NE Ste 103
Sunridge Professional Center
Woodinville, WA 98072-7965
Mailing address
17220 127TH PL NE Ste 103
Sunridge Professional Center
Woodinville, WA 98072-7965
Phone (425) 318-0062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1126234 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 6, 2025 through Apr 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60032258 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1245494749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17220 127TH PL NE STE 103",
"address_2": "SUNRIDGE PROFESSIONAL CENTER",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980727965",
"telephone_number": "425-318-0062",
"fax_number": "360-387-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 127TH PL NE STE 103",
"address_2": "SUNRIDGE PROFESSIONAL CENTER",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980727965",
"telephone_number": "425-318-0062",
"fax_number": "360-387-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELENZ",
"first_name": "CECILE",
"middle_name": "CULP",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60032258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1126234",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
- Linda L. Meredith, P.T.
- Shannon Michelle Mertens, PHARMD, RPH
- Estela Meza, LMP
- Michael J. Wagner
- Michael Koczarski DDS GPS PLLC (Koczarski Family & Aesthetic Dentistry)
- Erin Christine Milhem, PSY.D.
- Jill Truex Miller, MD
- Rebecca Marie Miller, DPT
- Steven Asher Montague, DO
- Ronald O'Neil Moon, LMHC, CDP, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.