Individual provider Active NPI

Susan Nicole Golden, PHD., LMFT, SUDP

  • Community/Behavioral Health Agency
  • Mill Creek, WA
National Provider Identifier
1497146443
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LF60279910 Issued in WA
Practice address
914 164TH St SE Ste B12-312
Mill Creek, WA 98012-6385
Phone
(425) 870-9968
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LF60279910 WA
Community/Behavioral Health Agency 251S00000X LF60279910 WA Primary

Addresses

Primary practice location

914 164TH St SE Ste B12-312
Mill Creek, WA 98012-6385

Mailing address

914 164TH St SE Ste B12-312
Mill Creek, WA 98012-6385
Phone (425) 870-9968

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikki@embracecs.com Direct

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LF60279910WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1497146443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 164TH ST SE STE B12-312",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126385",
            "telephone_number": "425-870-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 164TH ST SE STE B12-312",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126385",
            "telephone_number": "425-870-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "SUSAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD., LMFT, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF60279910",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LF60279910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikki@embracecs.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work Email",
            "address_1": "914 164th St SE Ste B12-312",
            "city": "Mill Creek",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980126385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.