Organization Active NPI

Landstrom Counseling, LLC

  • Mental Health Counselor
  • Snohomish, WA
National Provider Identifier
1457824401
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LANDSTROM COUNSELING, LLC
Practice address
1311 Bonneville Ave Ste 204
Snohomish, WA 98290-2087
Phone
(425) 344-6058
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Laura Landstrom, MS, LMHCNPI 1538539283
Title
Owner
Phone
(425) 905-7089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1311 Bonneville Ave Ste 204
Snohomish, WA 98290-2087

Mailing address

PO Box 1596
Monroe, WA 98272-4596
Phone (425) 905-7089

Other practice location 1

18500 156th Ave NE Ste 203
Woodinville, WA 98072-4459
Phone (425) 908-7089

Other identifiers 1

IdentifierTypeStateIssuer
1538539283MedicaidWA

National Provider Directory

National Provider Directory

Locations

1311 Bonneville Ave
Ste 204
Snohomish, WA 98290
Phone (425) 344-6058

18500 156th Ave NE
Ste 203
Woodinville, WA 98072
Phone (206) 729-2101

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1457824401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1596",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982724596",
            "telephone_number": "425-905-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BONNEVILLE AVE STE 204",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902087",
            "telephone_number": "425-344-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18500 156th Ave NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980724459",
            "country_code": "US",
            "telephone_number": "425-908-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANDSTROM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "LANDSTROM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-905-7089",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538539283",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.