Organization Active NPI

Christy Christian Ma, LMHC, LLC

  • Mental Health Counselor
  • Sumner, WA
National Provider Identifier
1487990263
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009528 Issued in WA
Legal business name
CHRISTY CHRISTIAN MA, LMHC, LLC
Practice address
920 Alder Ave
Suite 203a
Sumner, WA 98390-1401
Phone
(253) 370-7970
Fax
(253) 863-0177
NPI assigned
Dec 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Ms. Christine E Christian, LMHCNPI 1629253729
Title
Mental Health Counselor
Phone
(253) 370-7970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00009528 WA Primary

Addresses

Primary practice location

920 Alder Ave
Suite 203a
Sumner, WA 98390-1401

Mailing address

14013 116TH Ave E
Puyallup, WA 98374-4722
Phone (253) 370-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608002329 FL Part B Supplier - Clinic/Group Practice 3779054044 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

920 Alder Ave
Ste 203A
Sumner, WA 98390
Phone (253) 308-8160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1487990263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14013 116TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744722",
            "telephone_number": "253-370-7970",
            "fax_number": "253-863-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALDER AVE",
            "address_2": "SUITE 203A",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901401",
            "telephone_number": "253-370-7970",
            "fax_number": "253-863-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY CHRISTIAN MA, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-22",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "253-370-7970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.