Active NPI
Si Ying Han, LMFTA
- Mental Health Counselor
- University Place, WA
National Provider Identifier
1396368296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3560 Bridgeport Way W Ste 2C
University Place, WA 98466-4446 - Phone
- (253) 460-7248
- Fax
- (253) 564-4409
- NPI assigned
- May 26, 2020
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
3560 Bridgeport Way W Ste 2C
University Place, WA 98466-4446
Mailing address
14048 SE 158TH St
Renton, WA 98058-7812
Phone (425) 753-9796
Other names 1
- Kirstin Han
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Integrative Psychiatry PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- University Place, WA
- NPI 1255117289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1396368296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14048 SE 158TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980587812",
"telephone_number": "425-753-9796",
"fax_number": "253-564-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 BRIDGEPORT WAY W STE 2C",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664446",
"telephone_number": "253-460-7248",
"fax_number": "253-564-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SI YING",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTIN",
"last_name": "HAN",
"credential": "LMFTA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.