Blue River Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60449477 Issued in WA

Legal business name

BLUE RIVER COUNSELING, LLC

Practice address

22728 228TH Avenue SE
Maple Valley, WA 98038

Phone

(425) 429-1588

NPI assigned

Jul 24, 2015

Last updated

Jul 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Ann Mayhall, PHDNPI 1376795526

Title

Ceo/Therapist

Phone

(425) 429-1588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Ann Mayhall, PHD

  • Mental Health Counselor
  • Renton, WA
  • NPI 1376795526
  NPD (past) Authorized official

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1285019828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26207 MAPLE VALLEY BLACK DIAMOND HWY",
            "address_2": "SUITE D",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-429-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22728 228TH AVENUE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-429-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "MAYHALL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "425-429-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60449477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimiya Behzadian, DMD
• Julia Mudarisovna Bell, ARNP
• Scott W Bennion, OD
• Karis Corin Bjerke, CDP
• Black Hills ABA, LLC
• Kathleen Gayle Tabaquin Boado, NP
• Amanda Ann Bobgan, C.B.D
• Resa Bolton, PT
• Brandy Oto Counseling (Thrive Wellness Clinic)
• Brandy Oto Counseling, PLLC (Thrive Wellness Clinic)

• Mental Health Counselor in Maple Valley, WA
• Providers in Maple Valley, 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 Jul 24, 2015; 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.