Engaging Mindfulness Forging Meaning, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

603534700 Issued in WA

Legal business name

ENGAGING MINDFULNESS FORGING MEANING, PLLC

Practice address

1500 Fairview Ave E Ste 205
Seattle, WA 98102-3727

Phone

(206) 250-9166

NPI assigned

Mar 31, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Bartja Wachtel, LICSW, MHP, CMHS

Title

Owner, Sole Member, Agent

Phone

(206) 250-9166

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522454400000",
    "number": "1407352362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 STONE WAY N STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038052",
            "telephone_number": "206-250-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FAIRVIEW AVE E STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023727",
            "telephone_number": "206-250-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGING MINDFULNESS FORGING MEANING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-03-31",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "BARTJA",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER, AGENT",
        "authorized_official_telephone_number": "206-250-9166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW, MHP, CMHS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "603534700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROVIDER NPI",
            "identifier": "1891890927",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH SOCIAL WORKER LICENSE NUMBER",
            "identifier": "LW00008447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Craig Eng, DDS
• Thearany Eng, LMHCA
• Whitney Margaret Eng, M.D.
• Engage ABA LLC
• Engaging Life Psychotherapy PLLC
• Melinda Engbert
• Angela Engbrecht
• Brianna N Engel, MD
• Cynthia Dawn Engel
• Gregory A. Engel, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2018; 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.