Stable Ground Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STABLE GROUND THERAPY, LLC

Practice address

13305 105TH Ave NE
Kirkland, WA 98034-2041

Phone

(425) 202-5852

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Abigail Leigh Crickmore, LMHCNPI 1568034981

Title

Owner

Phone

(425) 202-5852

Specialties & licenses 1

Addresses

Practitioners 1

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

• Abigail Leigh Crickmore, LMHC

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1568034981
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1306551973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980390312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 105TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342041",
            "telephone_number": "425-202-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18675 NE 106th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980522930",
            "country_code": "US",
            "telephone_number": "425-202-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLE GROUND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "CRICKMORE",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-202-5852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SRC Homecare, Inc.
• Ismail Ssebuliba
• Renee St Jacques, PSY.D
• Christian St. Jacques, LMHCA (MC 61093652)
• Madison Sta.Ines
• Shobha Williamson Stack, M.D.
• Jessica Stackman
• Sabrina Lynn Stair, MD
• Viktor V Stakhnyuk
• Kimberly Stalford

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.