NPIMap

Organization Active NPI

Good Intention Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1295184133
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LW60494715 Issued in WA
Legal business name
GOOD INTENTION COUNSELING SERVICES, PLLC
Practice address
8400 5TH Ave NE Unit 8
Seattle, WA 98115-4163
Phone
(206) 954-3348
Fax
(206) 566-6913
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mr. Phillip Maurice Carr, LICSWNPI 1417256744
Title
President/Chief Clinical Advisor
Phone
(206) 954-3348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LW60494715 WA Primary

Addresses

Primary practice location

8400 5TH Ave NE Unit 8
Seattle, WA 98115-4163

Mailing address

8400 5TH Ave NE Unit 8
Seattle, WA 98115-4163
Phone (206) 954-3348

Other identifiers 1

IdentifierTypeStateIssuer
1114217MedicaidWA

National Provider Directory

National Provider Directory

Locations

8400 5th Ave NE
Apt 8
Seattle, WA 98115
Phone (206) 427-4679

10015 Lake City Way NE
Ste 441
Seattle, WA 98125
Phone (206) 290-9732

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1295184133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 5TH AVE NE UNIT 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154163",
            "telephone_number": "206-954-3348",
            "fax_number": "206-566-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 5TH AVE NE UNIT 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154163",
            "telephone_number": "206-954-3348",
            "fax_number": "206-566-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD INTENTION COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF CLINICAL ADVISOR",
        "authorized_official_telephone_number": "206-954-3348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW60494715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114217",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.