Individual provider Active NPI

Mysti Cal Coccia-Eddy, M.A., LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1447465026
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60252774 Issued in WA
Practice address
11042 23Rd Ave NE
Seattle, WA 98125-6630
Phone
(206) 383-8637
NPI assigned
May 14, 2007
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60252774 WA Primary

Addresses

Primary practice location

11042 23Rd Ave NE
Seattle, WA 98125-6630

Mailing address

11042 23Rd Ave NE
Seattle, WA 98125-6630
Phone (206) 383-8637

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH 60252774WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1447465026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 23RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256630",
            "telephone_number": "206-383-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 23RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256630",
            "telephone_number": "206-383-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIA-EDDY",
        "first_name": "MYSTI",
        "middle_name": "CAL",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60252774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 12, 2012; 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.