Individual provider Active NPI

Vivienne Bae, LMHC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1417229261
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
655 156TH Ave SE Ste 255
Bellevue, WA 98007-5018
Phone
(206) 695-7511
Fax
(206) 695-7606
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

655 156TH Ave SE Ste 255
Bellevue, WA 98007-5018

Mailing address

3639 Martin Luther King Jr. Way S.
Seattle, WA 98144
Phone (206) 695-7600

Other practice location 1

3639 Martin Luther King Jr. Way S.
Seattle, WA 98144
Phone (206) 805-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325000456 WA Practitioner - Other (Non-Physician) 4486091600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Counseling and Referral Service Mental Health CurrentSince Jan 8, 2024 Accepting new patients

Locations

655 156th Ave SE
Ste 255
Bellevue, WA 98007
Phone (206) 695-7511

3639 Mlk Jr Way S
Seattle, WA 98144
Phone (206) 695-7637

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1417229261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MARTIN LUTHER KING JR. WAY S.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-695-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 156TH AVE SE STE 255",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075018",
            "telephone_number": "206-695-7511",
            "fax_number": "206-695-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3639 Martin Luther King Jr. Way S.",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98144",
            "country_code": "US",
            "telephone_number": "206-805-8914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "VIVIENNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.