Puget Sound Expressive Arts Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PUGET SOUND EXPRESSIVE ARTS THERAPY, PLLC

Practice address

5450 California Ave SW Ste 101
Seattle, WA 98136-1577

Phone

(206) 452-7442

Fax

(206) 452-7442

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Mandy Lee Parida, LMHCNPI 1477841716

Title

Owner - Psychotherapist

Phone

(541) 350-8489

Specialties & licenses 1

Addresses

Other names 1

• Mandy Parida MA LMHC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandy L Parida, LMHC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1477841716
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1396468567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CALIFORNIA AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361577",
            "telephone_number": "206-452-7442",
            "fax_number": "206-452-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CALIFORNIA AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361577",
            "telephone_number": "206-452-7442",
            "fax_number": "206-452-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND EXPRESSIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "PARIDA",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER  - PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "541-350-8489",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandy Parida MA LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.