Individual provider Active NPI

Samson Manoah Irish-Lodge, LMFTA

  • Counselor
  • Woodinville, WA
National Provider Identifier
1326833849
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522
Phone
(425) 998-9769
Fax
(844) 837-1339
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

17330 135TH Ave NE Ste 2B
Woodinville, WA 98072-8522

Mailing address

10811 40TH Ave SE
Everett, WA 98208-5422
Phone (425) 791-0989

Other practice location 1

1237 W Main St # 98272
Monroe, WA 98272-2028
Phone (425) 405-0146

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

17330 135th Ave NE
Ste 2B
Woodinville, WA 98072
Phone (425) 998-9769

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1326833849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 40TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085422",
            "telephone_number": "425-791-0989",
            "fax_number": "425-791-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE STE 2B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-998-9769",
            "fax_number": "844-837-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 W Main St # 98272",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982722028",
            "country_code": "US",
            "telephone_number": "425-405-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRISH-LODGE",
        "first_name": "SAMSON",
        "middle_name": "MANOAH",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.