Individual provider Active NPI

Stephanie Erickson Carl, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1487104253
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073
Phone
(425) 202-6005
Fax
(425) 367-0531
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 Primary

Addresses

Primary practice location

2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073

Mailing address

2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073
Phone (425) 202-6005

Other practice location 1

4526 Federal Ave Bldg 9
Everett, WA 98203-2132
Phone (425) 349-8300

Other practice location 2

6320 Evergreen Way Ste 201
Everett, WA 98203-4560
Phone (425) 220-7042

Other identifiers 1

IdentifierTypeStateIssuer
2211204MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Avenues Counseling PLLC Mental Health Current Accepting new patients
Building Skills, PLLC Mental Health PastSince May 16, 2021 Accepting new patients

Locations

2027 196th St SW
Ste A205
Lynnwood, WA 98036
Phone (206) 558-4488

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1487104253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-202-6005",
            "fax_number": "425-367-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-202-6005",
            "fax_number": "425-367-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave Bldg 9",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "425-349-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 Evergreen Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982034560",
            "country_code": "US",
            "telephone_number": "425-220-7042",
            "fax_number": "425-512-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "STEPHANIE",
        "middle_name": "ERICKSON",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-12-01",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211204",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.