Active NPI
Emerson Hardebeck, PSYD
- Psychologist
- Seatac, WA
National Provider Identifier
1477212454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61478290
- Practice address
- 4040 S 188TH St Ste 201
Seatac, WA 98188-5070 - Phone
- (206) 277-7200
- NPI assigned
- Dec 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61213328 | WA | |
| Mental Health Counselor | 101YM0800X | MC61213328 | WA | |
| Psychologist | 103T00000X | PY61478290 | WA | Primary |
Addresses
Primary practice location
4040 S 188TH St Ste 201
Seatac, WA 98188-5070
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 12, 2024 through Aug 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61213328 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1477212454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S 188TH ST STE 201",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885070",
"telephone_number": "206-277-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEBECK",
"first_name": "EMERSON",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61213328",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61213328",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61478290",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
"affiliation": "N",
"address_1": "4040 S 188th St Ste 201",
"city": "Seatac",
"state": "WA",
"country_code": "US",
"postal_code": "981885070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.