Individual provider Active NPI

Carl Allen Tippins, PH.D. LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1336267053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003633 Issued in WA
Practice address
1818 Westlake Ave N Ste 316
Seattle, WA 98109-2707
Phone
(206) 325-9920
Fax
(296) 325-2191
NPI assigned
Mar 27, 2007
Sex
Male
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 LH00003633 WA Primary

Addresses

Primary practice location

1818 Westlake Ave N Ste 316
Seattle, WA 98109-2707

Mailing address

1818 Westlake Ave N Ste 316
Seattle, WA 98109-2707
Phone (206) 325-9920

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH00003633WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336267053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WESTLAKE AVE N STE 316",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092707",
            "telephone_number": "206-325-9920",
            "fax_number": "296-325-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WESTLAKE AVE N STE 316",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092707",
            "telephone_number": "206-325-9920",
            "fax_number": "296-325-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPINS",
        "first_name": "CARL",
        "middle_name": "ALLEN",
        "credential": "PH.D. LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.