Individual provider Active NPI

Teresa M Hildebrandt, MSN, LMHC

  • Mental Health Counselor
  • Mercer Island, WA
National Provider Identifier
1316062250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005581 Issued in WA
Practice address
7363 85TH Ave SE
Mercer Island, WA 98040-5723
Phone
(206) 369-4788
Fax
(206) 232-2779
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

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 LH00005581 WA Primary

Addresses

Primary practice location

7363 85TH Ave SE
Mercer Island, WA 98040-5723

Mailing address

7363 85TH Ave SE
Mercer Island, WA 98040-5723
Phone (206) 369-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003003050 WA Practitioner - Mental Health Counselor 0547791337 Practice locations: Mercer Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7363 85TH Ave SE
Mercer Island, WA 98040-5723
Phone (206) 369-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
LH00005581WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316062250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 85TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405723",
            "telephone_number": "206-369-4788",
            "fax_number": "206-232-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 85TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405723",
            "telephone_number": "206-369-4788",
            "fax_number": "206-232-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSN, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.