Active NPI
Taryn Chin, MA
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1326564899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61174002
- Practice address
- 330 112TH Ave NE
Bellevue, WA 98004-5800 - Phone
- (425) 331-9099
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0016680 | CO | |
| Mental Health Counselor | 101YM0800X | 61174002 | WA | Primary |
Addresses
Primary practice location
330 112TH Ave NE
Bellevue, WA 98004-5800
Mailing address
330 112TH Ave NE Ste 302
Bellevue, WA 98004-5800
Phone (425) 331-9099
Other practice location 1
1420 NW Gilman Blvd Ste 2
Issaquah, WA 98027-5333
Phone (425) 331-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 6, 2024 through Mar 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016680 | CO | MD | Mental Health Counselor |
| 61174002 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Co LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1326564899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 112TH AVE NE STE 302",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045800",
"telephone_number": "425-331-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045800",
"telephone_number": "425-331-9099"
}
],
"practiceLocations": [
{
"address_1": "1420 NW Gilman Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980275333",
"country_code": "US",
"telephone_number": "425-331-9099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "TARYN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0016680",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61174002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.