Pacific Northwest Christian Counseling PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PY60086116 Issued in WA

Legal business name

PACIFIC NORTHWEST CHRISTIAN COUNSELING PLLC

Practice address

2722 Colby Ave Ste 625
Everett, WA 98201-3534

Phone

(206) 999-4534

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Erik Craig Mildes, M.A.

Title

President

Phone

(206) 999-4534

Specialties & licenses 1

Addresses

Locations

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.

• Erik Ringsrud Mildes, M.A., L.M.H.C.

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1629135454
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1366859159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 185TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377231",
            "telephone_number": "206-999-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE STE 625",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013534",
            "telephone_number": "206-999-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST CHRISTIAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MILDES",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-999-4534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "PY60086116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Oxford, LICSW
• Kelsy Ozuna, MSW
• Erin Paavola, LMHC PHD
• Pacific Childrens Dentistry
• Pacific Kidney & Hypertension, LLC (Snohomish Kidney Institute)
• Pacific Northwest Dental
• Leon Packer
• Marianela Packer
• Ruth Araceli Padgett, B.A., CPC
• Yessica Lizzeth Padilla

• Point of Service in Everett, WA
• Providers in Everett, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.