Individual provider Active NPI

Manjot Kaur Pesala, LMHC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1346725728
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61145055 Issued in WA
Practice address
14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Phone
(206) 593-1140
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 LH61145055 WA Primary

Addresses

Primary practice location

14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553

Mailing address

1420 NW Gilman Blvd Ste 2
Issaquah, WA 98027-5333
Phone (206) 588-5092

Other practice location 1

14405 SE 36th St Ste 300
Bellevue, WA 98006-1588
Phone (425) 429-2450

Other practice location 2

1420 NW Gilman Blvd Ste 2
Issaquah, WA 98027-5333
Phone (206) 588-5092

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
LH61145055WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mannys Counseling Clinic PLLC Mental Health CurrentSince Apr 13, 2025 Accepting new patients
Mindful Therapy Group PC Mental Health PastSince Mar 1, 2017 Accepting new patients
Full Life Care Past Accepting new patients

Locations

1420 NW Gilman Blvd
Ste 2
Issaquah, WA 98027
Phone (425) 243-3665

Organizations & group practices 3

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1346725728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW GILMAN BLVD STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275333",
            "telephone_number": "206-588-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061553",
            "telephone_number": "206-593-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14405 SE 36th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061588",
            "country_code": "US",
            "telephone_number": "425-429-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 NW Gilman Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275333",
            "country_code": "US",
            "telephone_number": "206-588-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESALA",
        "first_name": "MANJOT",
        "middle_name": "KAUR",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61145055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.