Seattle Christian Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00011148 Issued in WA

Legal business name

SEATTLE CHRISTIAN COUNSELING, PLLC

Practice address

444 NE Ravenna Blvd Ste 308
Seattle, WA 98115-6467

Phone

(206) 388-3929

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Erik Mildes, MA, LMHC

Title

Owner

Phone

(206) 388-3929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1497181069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NE RAVENNA BLVD STE 308",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NE RAVENNA BLVD STE 308",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156467",
            "telephone_number": "206-388-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MILDES",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-388-3929",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.