Dayspring Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60031142 Issued in WA

Legal business name

DAYSPRING BEHAVIORAL HEALTH LLC

Practice address

1495 NW Gilman Blvd Ste 11
Issaquah, WA 98027-5328

Phone

(425) 296-7697

Fax

(818) 279-2296

NPI assigned

Sep 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Amy Ford, LMHC

Title

Owner/Psychotherapist

Phone

(425) 295-7697

Specialties & licenses 5

Addresses

Other names 1

• Dayspring Behavioral Health Former legal business name

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

{
    "created_epoch": "1379808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379808000000",
    "number": "1366878332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD STE 11",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275328",
            "telephone_number": "425-296-7697",
            "fax_number": "818-279-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD STE 11",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275328",
            "telephone_number": "425-296-7697",
            "fax_number": "818-279-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSPRING BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-22",
        "last_updated": "2013-09-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "425-295-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "LH60200909",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010763",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60312903",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60031142",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayspring Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer Davis, AAC
• Sage Kendra Davis, EAMP (LAC)
• Dawn Woo-Huysing, DMD, MSD, PLLC
• Brunette Dawson, PH.D, LMHC
• David Forrest Dawson, LMT
• Jennifer Anne Martinell De Alba, MA, LMHC
• Candice De Sauvage
• Dean Riskedahl, OD, PS
• Suzette Debutts, MS OTR/L
• April A. Decker

• Mental Health Counselor in Issaquah, WA
• Providers in Issaquah, 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 Sep 22, 2013; 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.