Seattle Neurocounseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEATTLE NEUROCOUNSELING, PLLC

Practice address

12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950

Phone

(425) 403-5765

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Carmen Benway, LMHCNPI 1457864068

Title

Counselor

Phone

(425) 403-5765

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• Seattle Neurocounseling Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 9

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

• Carmen Noel Benway, LMHC, MHP, NCC

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1457864068
  Medicare reassignment NPD Authorized official
• Semi Grey, LMHC, SUDP, LPC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1831669217

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Kathleen M Howell, LMFT

  • Marriage & Family Therapist
  • Olympia, WA
  • NPI 1518920800
  Medicare reassignment NPD
• Sanaz Amini, MA, LMHC

  • Counselor
  • Kirkland, WA
  • NPI 1891139887
  NPD
• Angelica De Anda, LMHC, CMHS

  • Mental Health Counselor
  • Bellevue, WA
  • NPI 1598051583
  NPD (past)
• Akila Osakwe

  • Mental Health Counselor
  • Anacortes, WA
  • NPI 1811355449
  NPD (past)
• Andrew Riley

  • Clinical Social Worker
  • Walla Walla, WA
  • NPI 1841842903

  Mental Health

  NPD (past)
• Nancy Ziegler, LMHC

  • Mental Health Counselor
  • Bremerton, WA
  • NPI 1073200952
  NPD (past)
• Kristen Atwood, LMHC

  • Mental Health Counselor
  • Hillsboro, OR
  • NPI 1316359805
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1437898772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "425-403-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "425-403-5765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602673",
            "country_code": "US",
            "telephone_number": "425-403-5765",
            "fax_number": "425-333-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEATTLE NEUROCOUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BENWAY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "425-403-5765",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238102",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Neurocounseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seattle Neurocounseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.