Individual provider Active NPI

Lauren Dudugjian, MS-LMFT, MDIV

  • Mental Health Counselor
  • Woodinville, WA
National Provider Identifier
1255931416
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LF61595210 Issued in WA
Practice address
13110 NE 177TH PL # 1107
Woodinville, WA 98072-5740
Phone
(425) 667-5351
Fax
(425) 486-6495
NPI assigned
Oct 27, 2020
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LF61595210 WA Primary

Addresses

Primary practice location

13110 NE 177TH PL # 1107
Woodinville, WA 98072-5740

Mailing address

13110 NE 177TH PL # 1107
Woodinville, WA 98072-5740
Phone (425) 667-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 3, 2025 through Nov 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF61595210WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1255931416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 NE 177TH PL # 1107",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725740",
            "telephone_number": "425-667-5351",
            "fax_number": "425-486-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 NE 177TH PL # 1107",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725740",
            "telephone_number": "425-667-5351",
            "fax_number": "425-486-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDUGJIAN",
        "first_name": "LAUREN",
        "credential": "MS-LMFT, MDIV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF61595210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.