Individual provider Active NPI

Michael Liebelt, LMHC

  • Mental Health Counselor
  • East Wenatchee, WA
National Provider Identifier
1477912897
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60335856 Issued in WA
Practice address
980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone
(509) 662-6000
NPI assigned
Feb 12, 2016
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60881843 WA
Mental Health Counselor 101YM0800X 60335856 WA Primary

Addresses

Primary practice location

980 Eastmont Ave
East Wenatchee, WA 98802-6602

Mailing address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240124004924 WA Practitioner - Mental Health Counselor 1153774252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60881843WAMDAddiction (Substance Use Disorder) Counselor
60335856WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Columbia Valley Community Health Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

980 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 664-0949

140 Easy Way
Wenatchee, WA 98801
Phone (509) 662-4296

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

819 N Miller St
Ste 1B
Wenatchee, WA 98801
Phone (509) 664-4592

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1477912897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 EASTMONT AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988026602",
            "telephone_number": "509-662-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Orondo Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBELT",
        "first_name": "MICHAEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60881843",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60335856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.