Erica Renee Bacon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1216 Pine St Ste 300
Seattle, WA 98101-1959

Phone

(206) 323-1768

Fax

(206) 323-2184

NPI assigned

May 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Counseling Center

  dba Seattle Counseling Service for Sexual Minorities

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1396958302

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1356878524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 PINE ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011959",
            "telephone_number": "206-323-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PINE ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011959",
            "telephone_number": "206-323-1768",
            "fax_number": "206-323-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "ERICA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60782602",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miroslav Backonja, MD
• Susan G Backs, RN,MSN
• Brandon Scott Backus Jackson
• Mark L Backus, M.D.
• Brittany Seabury Bacon, M.A.
• Stacy Bacon
• David John Bacsik
• Brian B Bacungan, LMP
• Nicolas Awad Baddour, MD
• Thomas Anthony Bade, MA, AAC

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.