Individual provider Active NPI

Marlon Familton, LMHCA

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1467647800
Registry record updated May 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60184425 Issued in WA
Practice address
1601 116TH Ave NE Ste 102
Bellevue, WA 98004-3010
Phone
(425) 417-4700
Fax
(424) 454-1476
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LH 60184425 WA
Mental Health Counselor 101YM0800X LH 60184425 WA Primary

Addresses

Primary practice location

1601 116TH Ave NE Ste 102
Bellevue, WA 98004-3010

Mailing address

1601 116TH Ave NE Ste 102
Bellevue, WA 98004-3010
Phone (425) 417-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2024 through Jan 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH 60184425WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Family Counseling LLC Mental Health Current Accepting new patients

Locations

1601 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (425) 761-6036

Organizations & group practices 1

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304208000000",
    "number": "1467647800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-417-4700",
            "fax_number": "424-454-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-417-4700",
            "fax_number": "424-454-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMILTON",
        "first_name": "MARLON",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LH 60184425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60184425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.