Active NPI
Eden Teng, LMHCA
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1457903965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61103048
- Practice address
- 1817 Queen Anne Ave N Ste 207
Seattle, WA 98109-2876 - Phone
- (206) 697-2455
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Mental Health Counselor | 101YM0800X | MC61103048 | WA | Primary |
Addresses
Primary practice location
1817 Queen Anne Ave N Ste 207
Seattle, WA 98109-2876
Mailing address
2600 SW Holden St
Seattle, WA 98126-3505
Other practice location 1
1033 SW 152nd St
Burien, WA 98166-1845
Phone (206) 696-2991
Other practice location 2
1210 SW 136th St
Burien, WA 98166-1214
Phone (206) 696-2991
Other practice location 3
2600 SW Holden St
Seattle, WA 98126-3505
Phone (206) 696-2991
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 |
|---|---|---|---|
| MC61103048 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1457903965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SW HOLDEN ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 QUEEN ANNE AVE N STE 207",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092876",
"telephone_number": "206-697-2455"
}
],
"practiceLocations": [
{
"address_1": "1033 SW 152nd St",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981661845",
"country_code": "US",
"telephone_number": "206-696-2991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 SW 136th St",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981661214",
"country_code": "US",
"telephone_number": "206-696-2991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 SW Holden St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981263505",
"country_code": "US",
"telephone_number": "206-696-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TENG",
"first_name": "EDEN",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61103048",
"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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.