Organization Active NPI

Michaela Hagerty-Koller P.S.

  • Adolescent and Children Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1306549696
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Michaela Hagerty-Koller, LMHCANPI 1154024453
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.