Organization Active NPI

Connecting for Clarity, PLLC

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1417435975
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60613010 Issued in WA
Legal business name
CONNECTING FOR CLARITY, PLLC
Practice address
14535 NE Bel Red Rd Ste 202
Bellevue, WA 98007-3907
Phone
(425) 589-2526
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Katherine Crouch, LICSWNPI 1801384862
Title
Owner/Psychotherapist
Phone
(425) 589-2526

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 60613010 WA Primary

Addresses

Primary practice location

14535 NE Bel Red Rd Ste 202
Bellevue, WA 98007-3907

Mailing address

9725 SE 36TH St Ste 403
Mercer Island, WA 98040-3840
Phone (425) 589-2526

Other practice location 1

8015 SE 28th St Ste 309
Mercer Island, WA 98040-2910
Phone (425) 589-2526

Other identifiers 1

IdentifierTypeStateIssuer
60613010OtherWALICSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181211003617 WA Part B Supplier - Clinic/Group Practice 1951645381 Receives reassigned benefits from 1 practitioner
Practice locations: Mercer Island, WA

National Provider Directory

National Provider Directory

Locations

12221 NE 8th St
Bellevue, WA 98005
Phone (425) 454-7321

14535 NE Bel Red Rd
Ste 202
Bellevue, WA 98007
Phone (206) 457-3038

8015 SE 28th St
Ste 309
Mercer Island, WA 98040
Phone (206) 226-8813

9725 SE 36th St
Ste 403
Mercer Island, WA 98040
Phone (206) 778-0367

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1417435975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST STE 403",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403840",
            "telephone_number": "425-589-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 NE BEL RED RD STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073907",
            "telephone_number": "425-589-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8015 SE 28th St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980402910",
            "country_code": "US",
            "telephone_number": "425-589-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECTING FOR CLARITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "425-589-2526",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60613010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "60613010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.