Divergent Wellbeing

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DIVERGENT WELLBEING

Practice address

1424 11TH Ave Ste 400
Seattle, WA 98122-4271

Phone

(206) 580-3310

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth MateerNPI 1649887266

Title

Owner

Phone

(518) 653-6227

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Mateer, LMHCA

  • Mental Health Counselor
  • Boston, MA
  • NPI 1649887266
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1275250540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 11TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 11TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224271",
            "telephone_number": "206-580-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MATEER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-653-6227"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ditsch
• Leann Y Dittmar, PHARMD
• Judy Dittmer, SLP
• Deanna Lynn Diulio, WHNP, CNM
• Mukul Kiran Divatia, MD
• Diversified Wellness Center
• Lauren Divine, LMT
• Jazmin Divsar
• Daniel J Dixon, ND
• Dominique Dixon, MD

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Oct 26, 2022; 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.