Active NPI
Todd Mitchell Krake, M.A.
- Marriage & Family Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61399423
- Practice address
- 1601 N 45TH St Unit 211
Seattle, WA 98103-6967 - Phone
- (541) 668-1286
- NPI assigned
- Nov 12, 2015
- Last updated
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | MFTA.MG.61004781 | WA | |
| Marriage & Family Therapist | 106H00000X | LF61399423 | WA | Primary |
Addresses
Primary practice location
1601 N 45TH St Unit 211
Seattle, WA 98103-6967
Mailing address
1601 N 45TH St Unit 211
Seattle, WA 98103-6967
Phone (541) 668-1286
Other practice location 1
371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560
Phone (541) 617-0377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTA.MG.61004781 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Juniper Mountain Counseling | Past | Accepting new patients |
Locations
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Marriage & Family Therapist
-
- Community/Behavioral Health Agency
- Bend, OR
- NPI 1225453814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1306219373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N 45TH ST UNIT 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036967",
"telephone_number": "541-668-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N 45TH ST UNIT 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036967",
"telephone_number": "541-668-1286"
}
],
"practiceLocations": [
{
"address_1": "371 SW Upper Terrace Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977021560",
"country_code": "US",
"telephone_number": "541-617-0377",
"fax_number": "541-617-0543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAKE",
"first_name": "TODD",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MFTA.MG.61004781",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61399423",
"primary": true
}
],
"identifiers": [],
"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 Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.