Active NPI
Stephanie Lee
- Mental Health Counselor
- Mountlake Terrace, WA
National Provider Identifier
1346916400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61509940
- Practice address
- 6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089 - Phone
- (425) 640-7009
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | MC61509940 | WA | Primary |
Addresses
Primary practice location
6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089
Mailing address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (216) 712-1051
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61509940 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ain'T I a Woman Wellness Center Corporation | Mental Health | Current | Accepting new patients |
| Peter James Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Bedford, OH
- NPI 1184255549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1346916400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "216-712-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 216TH ST SW STE 100",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432089",
"telephone_number": "425-640-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2023-12-11",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61509940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.