Individual provider Active NPI

Eric B. Bardsley, M.ED., LMHC

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1386856359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003738 Issued in WA
Practice address
1851 Central PL. S.
Suite 123
Kent, WA 98030-3119
Phone
(253) 520-7344
Fax
(253) 852-2360
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00003738 WA Primary

Addresses

Primary practice location

1851 Central PL. S.
Suite 123
Kent, WA 98030-3119

Mailing address

9922 A Clara Blvd. S.W.
Lakewood, WA 98498-3119
Phone (253) 588-1339

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 Education

State licenses

LicenseStateTypeSpecialty
LH00003738WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386856359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 A CLARA BLVD. S.W.",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983119",
            "telephone_number": "253-588-1339",
            "fax_number": "253-852-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 CENTRAL PL. S.",
            "address_2": "SUITE 123",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980303119",
            "telephone_number": "253-520-7344",
            "fax_number": "253-852-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDSLEY",
        "first_name": "ERIC",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.