Active NPI
Ginger Michel, LMHC
- Mental Health Counselor
- Bothell, WA
National Provider Identifier
1457807331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60896220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255092920 | Other | WA | TYPE 2 NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60896220 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CQ Therapy | Mental Health | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1285783480
Mental Health
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.