Inlife Clinic, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00007342 Issued in WA

Legal business name

INLIFE CLINIC, LLC

Practice address

3055 112TH Ave NE Ste 125
Bellevue, WA 98004-2063

Phone

(425) 822-3252

NPI assigned

Jun 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Rogers, MA, LMHC

Title

Director

Phone

(425) 822-3252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1255628210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 112TH AVE NE STE 125",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042063",
            "telephone_number": "425-822-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 112TH AVE NE STE 125",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042063",
            "telephone_number": "425-822-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLIFE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-822-3252",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bellevue, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.