Individual provider Active NPI

Terrell Powell, LMHCA

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1477932226
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60471820 Issued in WA
Practice address
2227 112TH Ave NE
Suite 202
Bellevue, WA 98004-2953
Phone
(425) 452-8036
Fax
(425) 452-8038
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60471820 WA Primary

Addresses

Primary practice location

2227 112TH Ave NE
Suite 202
Bellevue, WA 98004-2953

Mailing address

2227 112TH Ave NE
Suite Number 202
Bellevue, WA 98004-2953
Phone (425) 452-8036

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
I20260416001620 WA Practitioner - Clinical Psychologist 8123594231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1728 W Marine View Dr
Suite 109
Everett, WA 98201-2094

330 3Rd Ave W Unit
Suite 612
Seattle, WA 98119-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60471820WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neuropsychology Learning and Behavioral Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1477932226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 112TH AVE NE",
            "address_2": "SUITE NUMBER 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042953",
            "telephone_number": "425-452-8036",
            "fax_number": "425-452-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 112TH AVE NE",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042953",
            "telephone_number": "425-452-8036",
            "fax_number": "425-452-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TERRELL",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60471820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.