Active NPI
Julie Maxim
- Mental Health Counselor
- Mukilteo, WA
National Provider Identifier
1417360470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60154437
- Practice address
- 10710 Mukilteo Speedway
Mukilteo, WA 98275-5021 - Phone
- (425) 349-8888
- Fax
- (425) 493-2964
- NPI assigned
- Jun 7, 2014
- 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 | CG60154437 | WA | Primary |
Addresses
Primary practice location
10710 Mukilteo Speedway
Mukilteo, WA 98275-5021
Mailing address
10710 Mukilteo Speedway
Mukilteo, WA 98275-5021
Phone (425) 349-8888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60154437 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402099200000",
"number": "1417360470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755021",
"telephone_number": "425-349-8888",
"fax_number": "425-493-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755021",
"telephone_number": "425-349-8888",
"fax_number": "425-493-2964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXIM",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2014-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60154437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.