Individual provider Active NPI

Cheryl D Hamack, MA LMHC

  • Mental Health Counselor
  • Mill Creek, WA
National Provider Identifier
1316015357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LM00003709 Issued in WA
Practice address
621 164TH PL SE
Mill Creek, WA 98012-5917
Phone
(425) 743-2386
Fax
(425) 787-9897
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LM00003709 WA Primary

Addresses

Primary practice location

621 164TH PL SE
Mill Creek, WA 98012-5917

Mailing address

PO 292
PCS North Samaritan Counseling Center
Snohomish, WA 98291-0292
Phone (360) 568-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LM00003709WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316015357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 292",
            "address_2": "PCS NORTH SAMARITAN COUNSELING CENTER",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982910292",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 164TH PL SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125917",
            "telephone_number": "425-743-2386",
            "fax_number": "425-787-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMACK",
        "first_name": "CHERYL",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LM00003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.