Individual provider Active NPI

Nathan William Eklund, MA, LMHC

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1336370238
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011117 Issued in WA
Practice address
2804 Grand Ave
Suite 304
Everett, WA 98201-3430
Phone
(206) 660-8596
NPI assigned
Jul 27, 2009
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00011117 WA Primary
Professional Counselor 101YP2500X 6401013679 MI

Addresses

Primary practice location

2804 Grand Ave
Suite 304
Everett, WA 98201-3430

Mailing address

13506 54TH Ave SE
Everett, WA 98208-9545
Phone (206) 660-8596

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00011117WAMDMental Health Counselor
6401013679MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1336370238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 54TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089545",
            "telephone_number": "206-660-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "SUITE 304",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "206-660-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011117",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.