Active NPI
West Coast Anxiety PLLC
- Adult Mental Health Clinic/Center
- Seattle, WA
National Provider Identifier
1356048052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WEST COAST ANXIETY PLLC
- Practice address
- 2331 42ND Ave SW Apt 403
Seattle, WA 98116-2557 - Phone
- (206) 590-2226
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Elaine-Ketcham Crooks, LICSW
- Title
- Founder, Ceo, Psychotherapist
- Phone
- (206) 590-2226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2331 42ND Ave SW Apt 403
Seattle, WA 98116-2557
Mailing address
2331 42ND Ave SW Apt 403
Seattle, WA 98116-2557
Phone (206) 590-2226
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Seattle, WA
- NPI 1952879090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1356048052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 42ND AVE SW APT 403",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162557",
"telephone_number": "206-590-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 42ND AVE SW APT 403",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162557",
"telephone_number": "206-590-2226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST ANXIETY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "CROOKS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ELAINE-KETCHAM",
"authorized_official_title_or_position": "FOUNDER, CEO, PSYCHOTHERAPIST",
"authorized_official_telephone_number": "206-590-2226",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Adrienne Elizabeth Wessel
- Anne Irene Wessel, DPT
- Tracy Elizabeth Wessel
- Hunter Buchanan Wessells
- Wessicare Homehealth & Concierge Services L.L.C
- West Coast Behavioral Consultants Inc Dba Blueprints
- West Coast Behavioral Consultants, Inc.
- West Seattle Acupuncture
- West Seattle Chiropractic Clinic PS
- West Seattle Endodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.