Individual provider Active NPI

Benjamin Mason Judy, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1386115434
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61166828 Issued in WA
Practice address
819 N 49TH St Unit 229
Seattle, WA 98103-6569
Phone
(253) 294-9429
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61166828 WA Primary

Addresses

Primary practice location

819 N 49TH St Unit 229
Seattle, WA 98103-6569

Mailing address

2501 SW Trenton St # 1001
Seattle, WA 98106-3206
Phone (253) 294-9429

Other practice location 1

1025 S 3rd St
Renton, WA 98057
Phone (425) 428-8281

Other practice location 2

4601 S Graham St
Seattle, WA 98118
Phone (253) 294-9429

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH61166828WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1386115434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SW TRENTON ST # 1001",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981063206",
            "telephone_number": "253-294-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 49TH ST UNIT 229",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036569",
            "telephone_number": "253-294-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "98057",
            "country_code": "US",
            "telephone_number": "425-428-8281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 S Graham St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98118",
            "country_code": "US",
            "telephone_number": "253-294-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDY",
        "first_name": "BENJAMIN",
        "middle_name": "MASON",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61166828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.