Amanda K Faasse, LMHC, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60440432 Issued in WA

Practice address

811 Madison St
Everett, WA 98203-4543

Phone

(425) 212-4200

Fax

(425) 212-4201

NPI assigned

Dec 2, 2011

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amanda K Hussey Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sunrise Services, Inc.

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1013092550
  Medicare reassignment NPD
• Sunrise Services, Inc.

  • Community/Behavioral Health Agency
  • Mount Vernon, WA
  • NPI 1841650009
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1467720631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2569",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130569",
            "telephone_number": "425-212-4200",
            "fax_number": "425-212-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MADISON ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034543",
            "telephone_number": "425-212-4200",
            "fax_number": "425-212-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAASSE",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61141477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60440432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HUSSEY",
            "middle_name": "K",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eye-Q Docs of Everett LTD (Eye Doctors of Everett)
• Kevin Jon Eyre, B.A.
• Ezzia Healthcare PLLC
• F.Y.B. Senior Care, Inc. (Home Instead Senior Care)
• Rohey Faal
• Alissia Yvette Fabre, LMT
• Heather E Fahsholtz
• Nancy Anderson Faith, PHARMD
• Oluwatosin Fajana
• Elizabeth Fajemisin

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.