Active NPI
Richard Thomas Middleton, LICENSED MENTAL HEAL
- Counselor
- Bainbridge Island, WA
National Provider Identifier
1386966745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH00003690
- Practice address
- 945 Hildebrand Lane NE
Suite #210
Bainbridge Island, WA 98110-3200 - Phone
- (206) 842-2022
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00003690 | WA | Primary |
Addresses
Primary practice location
945 Hildebrand Lane NE
Suite #210
Bainbridge Island, WA 98110-3200
Mailing address
8396 NE Blakely Heights Drive
Bainbridge Island, WA 98110-3200
Phone (206) 842-2022
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 |
|---|---|---|---|
| LH00003690 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1386966745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8396 NE BLAKELY HEIGHTS DRIVE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981103200",
"telephone_number": "206-842-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 HILDEBRAND LANE NE",
"address_2": "SUITE #210",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981103200",
"telephone_number": "206-842-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "RICHARD",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LICENSED MENTAL HEAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00003690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.