Active NPI
Maxim Michael Zhvanetsky, BS, MA, LMHC
- Mental Health Counselor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH70010200
- Practice address
- 1820 12TH Ave
Seattle, WA 98122-2438 - Phone
- (206) 929-2410
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH70010200 | WA | Primary |
Addresses
Primary practice location
1820 12TH Ave
Seattle, WA 98122-2438
Mailing address
123 NW 36TH St Ste 210
Seattle, WA 98107-4959
Phone (206) 929-2410
Other names 1
- Max Zhvanetsky
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH70010200 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1316658024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NW 36TH ST STE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074959",
"telephone_number": "206-929-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 12TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222438",
"telephone_number": "206-929-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHVANETSKY",
"first_name": "MAXIM",
"middle_name": "MICHAEL",
"credential": "BS, MA, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH70010200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAX",
"last_name": "ZHVANETSKY",
"credential": "BS, MA, LMHC",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.