Active NPI
Mind Forge Therapy PLLC
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1396566527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIND FORGE THERAPY PLLC
- Practice address
- 6015 Elegy PL SE
Olympia, WA 98513-8811 - Phone
- (360) 800-7048
- NPI assigned
- Oct 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elora Binnie
- Title
- Licensed Mental Health Counselor
- Phone
- (360) 800-7048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6015 Elegy PL SE
Olympia, WA 98513-8811
Mailing address
522 W Riverside Ave Ste N
Spokane, WA 99201-0581
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Tumwater, WA
- NPI 1902263056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1396566527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE STE N",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 ELEGY PL SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985138811",
"telephone_number": "360-800-7048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND FORGE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "BINNIE",
"authorized_official_first_name": "ELORA",
"authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "360-800-7048"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.