NPIMap

Organization Active NPI

PNW Sex Therapy Collective

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1417532243
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PNW SEX THERAPY COLLECTIVE
Practice address
1200 Westlake Ave N Ste 407
Seattle, WA 98109-3528
Phone
(206) 705-3059
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Mia Fine, MS, LMFT, CSTNPI 1649647306
Title
Co-Owner
Phone
(561) 862-7090

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1200 Westlake Ave N Ste 407
Seattle, WA 98109-3528

Mailing address

1200 Westlake Ave N Ste 407
Seattle, WA 98109-3528
Phone (206) 705-3059

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Seattle

National Provider Directory

National Provider Directory

Locations

1200 Westlake Ave N
Ste 407
Seattle, WA 98109
Phone (206) 705-3059

Practitioners & affiliated clinicians

Practitioners 2

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1417532243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTLAKE AVE N STE 407",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093528",
            "telephone_number": "206-705-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTLAKE AVE N STE 407",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093528",
            "telephone_number": "206-705-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW SEX THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-862-7090",
        "authorized_official_credential": "MS, LMFT, CST"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Seattle",
            "affiliation": "N",
            "address_1": "1200 Westlake Ave N Ste 407",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981093528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.