Individual provider Active NPI

Ginger Michel, LMHC

  • Mental Health Counselor
  • Bothell, WA
National Provider Identifier
1457807331
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60896220 Issued in WA
Practice address
19125 North Creek Parkway
123B
Bothell, WA 98011
Phone
(425) 954-7264
Fax
(206) 565-0269
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 LH60896220 WA Primary

Addresses

Primary practice location

19125 North Creek Parkway
123B
Bothell, WA 98011

Mailing address

130 2ND Ave N Unit 1712
Edmonds, WA 98020-2121
Phone (425) 954-7264

Other identifiers 1

IdentifierTypeStateIssuer
1255092920OtherWATYPE 2 NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ginger@cqtherapy.com Direct

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

State licenses

LicenseStateTypeSpecialty
LH60896220WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CQ Therapy Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Sea Mar Community Health Centers Mental Health Past Accepting new patients

Locations

19125 North Creek Pkwy
#123B
Bothell, WA 98011
Phone (425) 954-7264

130 2nd Ave N
Unit 1712
Edmonds, WA 98020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1457807331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 2ND AVE N UNIT 1712",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202121",
            "telephone_number": "425-954-7264",
            "fax_number": "206-565-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 NORTH CREEK PARKWAY",
            "address_2": "123B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-954-7264",
            "fax_number": "206-565-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "GINGER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60896220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1255092920",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginger@cqtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "130 2nd Ave N",
            "address_2": "Unit 1712",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.