Active NPI
Michaela Hagerty-Koller P.S.
- Adolescent and Children Mental Health Clinic/Center
- Seattle, WA
National Provider Identifier
1306549696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- MICHAELA HAGERTY-KOLLER P.S.
- Practice address
- 5413 Meridian Ave N Ste a
Seattle, WA 98103-6166 - Phone
- (206) 588-6409
- NPI assigned
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaela Hagerty-Koller, LMHCA
- Title
- President
- Phone
- (206) 588-6409
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
5413 Meridian Ave N Ste a
Seattle, WA 98103-6166
Mailing address
5413 Meridian Ave N Ste a
Seattle, WA 98103-6166
Phone (206) 588-6409
National Provider Directory
National Provider DirectoryLocations
5413 Meridian Ave N
Ste A
Seattle, WA 98103
Phone (206) 420-8287
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Seattle, WA
- NPI 1154024453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1306549696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5413 MERIDIAN AVE N STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036166",
"telephone_number": "206-588-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5413 MERIDIAN AVE N STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036166",
"telephone_number": "206-588-6409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAELA HAGERTY-KOLLER P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "HAGERTY-KOLLER",
"authorized_official_first_name": "MICHAELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-588-6409",
"authorized_official_credential": "LMHCA"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.