Organization Active NPI

Terry Basolo & Associates, Psychotherapy

  • Mental Health Counselor
  • Bainbridge Island, WA
National Provider Identifier
1336076249
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TERRY BASOLO & ASSOCIATES, PSYCHOTHERAPY
Practice address
180 Harbor SQ Loop NE Unit B422
Bainbridge Island, WA 98110-3423
Phone
(206) 450-6223
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Terry Basolo, LMHCNPI 1336527027
Title
Owner
Phone
(206) 450-6223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

180 Harbor SQ Loop NE Unit B422
Bainbridge Island, WA 98110-3423

Mailing address

8202 NE State Highway 104 Ste 102-246
Kingston, WA 98346-9454
Phone (206) 450-6223

National Provider Directory

National Provider Directory

Locations

8202 NE State Highway 104
Ste 102246
Kingston, WA 98346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1336076249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 NE STATE HIGHWAY 104 STE 102-246",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469454",
            "telephone_number": "206-450-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HARBOR SQ LOOP NE UNIT B422",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103423",
            "telephone_number": "206-450-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY BASOLO & ASSOCIATES, PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BASOLO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-450-6223",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.