Mastery Mental Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MASTERY MENTAL HEALTH PLLC

Practice address

627 5TH St Ste 200
Mukilteo, WA 98275-1580

Phone

(206) 309-3839

Fax

(425) 513-2329

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Geoffrey Michael Simkins, MSW, LSWAICNPI 1568703551

Title

Owner/Counselor

Phone

(360) 566-3722

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geoffrey Michael Simkins, MSW

  • Clinical Social Worker
  • Mukilteo, WA
  • NPI 1568703551

  Counselor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1356942064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 5TH ST STE 200",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751580",
            "telephone_number": "206-309-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 5TH ST STE 200",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751580",
            "telephone_number": "206-309-3839",
            "fax_number": "425-513-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "SIMKINS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "360-566-3722",
        "authorized_official_credential": "MSW, LSWAIC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique McCann Maio, LMHC
• Fatima Nadia Malik, M.D.
• Mohamed Mans
• Mark an DDS, PS
• Beatris Martinez, ATC
• Julie Maxim
• Jennifer N Mbugua
• Peggyanne McCasland X, AFFILIATED COUNSELOR
• Gary R McCullough, CDP
• Ian McEwen, LMT

• Clinical Social Worker in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.