Individual provider Active NPI

Annette Catherine Rembold, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1427393909
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60489376 Issued in WA
Practice address
3414 W Blaine St
Seattle, WA 98199-3952
Phone
(256) 581-0351
NPI assigned
Dec 10, 2012
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC60172601 WA
Mental Health Counselor 101YM0800X LH60489376 WA Primary

Addresses

Primary practice location

3414 W Blaine St
Seattle, WA 98199-3952

Mailing address

3414 W Blaine St
Seattle, WA 98199-3952
Phone (256) 581-0351

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
I20250813002719 WA Practitioner - Mental Health Counselor 1355849753 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Seattle, WA 98199
Phone (256) 581-0351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60172601WAMDCounselor
LH60489376WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1427393909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W BLAINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993952",
            "telephone_number": "256-581-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W BLAINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993952",
            "telephone_number": "256-581-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBOLD",
        "first_name": "ANNETTE",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60172601",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60489376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.