Individual provider Active NPI

Lindsey Marie Barcklay, MSW,LICSW,AAC,CDPT

  • Mental Health Counselor
  • Bonney Lake, WA
National Provider Identifier
1346599248
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60300875 Issued in WA
Practice address
11410 201St Ave E
Bonney Lake, WA 98391-7710
Phone
(206) 331-6465
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG60300875 WA Primary
Counselor 101Y00000X CG60300875 WA
Student in an Organized Health Care Education/Training Program 390200000X CO60289353 WA

Addresses

Primary practice location

11410 201St Ave E
Bonney Lake, WA 98391-7710

Mailing address

11410 201St Ave E
Bonney Lake, WA 98391-7710
Phone (206) 331-6465

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

State licenses

LicenseStateTypeSpecialty
CG60300875WAMDCounselor
CO60289353WAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1346599248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 201ST AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917710",
            "telephone_number": "206-331-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 201ST AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917710",
            "telephone_number": "206-331-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCKLAY",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "MSW,LICSW,AAC,CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60300875",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60300875",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60289353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.