Organization Active NPI

Dominique Walmsley

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1356761654
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
60108333 Issued in WA
Legal business name
DOMINIQUE WALMSLEY
Practice address
2329 N 62ND St
Seattle, WA 98103-5722
Phone
(206) 909-1097
NPI assigned
Apr 25, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Ms. Dominique Walmsley, MA, LMHCNPI 1023540119
Title
Therapist
Phone
(206) 909-1097

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 60108333 WA Primary

Addresses

Primary practice location

2329 N 62ND St
Seattle, WA 98103-5722

Mailing address

2329 N 62ND St
Seattle, WA 98103-5722
Phone (206) 909-1097

Other names 1

  • Seattle Mind Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1356761654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N 62ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035722",
            "telephone_number": "206-909-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 N 62ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035722",
            "telephone_number": "206-909-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE WALMSLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "WALMSLEY",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "206-909-1097",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "60108333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Mind Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.