Active NPI
Michael R Duryea, MHS
- Mental Health Counselor
- West Seattle, WA
National Provider Identifier
1376010421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BHA.FS.60873256
- Practice address
- 2600 SW Holden St
West Seattle, WA 98126 - Phone
- (206) 933-7299
- NPI assigned
- Oct 26, 2018
- Last updated
- Oct 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BHA.FS.60873256 | WA | Primary |
Addresses
Primary practice location
2600 SW Holden St
West Seattle, WA 98126
Mailing address
2600 SW Holden St
Seattle, WA 98126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BHA.FS.60873256 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1376010421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SW HOLDEN ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SW HOLDEN ST",
"city": "WEST SEATTLE",
"state": "WA",
"postal_code": "98126",
"telephone_number": "206-933-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURYEA",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "BHA.FS.60873256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.