NPIMap

Organization Active NPI

Traverse Therapy Services

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1306436274
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRAVERSE THERAPY SERVICES
Practice address
11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600
Phone
(206) 853-7364
NPI assigned
Jan 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Catherine Elizabeth SouthardNPI 1265915813
Title
Ceo
Phone
(206) 853-7365

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600

Mailing address

PO Box 1895
Everett, WA 98206-1895
Phone (206) 853-7364

Other identifiers 1

IdentifierTypeStateIssuer
1265915813OtherWA

National Provider Directory

National Provider Directory

Locations

11416 Slater Ave NE
Ste 201
Kirkland, WA 98033

12810 E Nora Ave
Ste D
Spokane Valley, WA 99216

1035 Andover Park W
Ste 120
Tukwila, WA 98188
Phone (509) 517-6794

7350 Cirque Dr W
Ste 202
University Place, WA 98467
Phone (253) 380-1717

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1306436274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982061895",
            "telephone_number": "206-853-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334600",
            "telephone_number": "206-853-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-853-7365"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA",
            "identifier": "1265915813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.