Active NPI
Heidi Ann Duong, LMHC LH61410541
- Counselor
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH61410541
- Practice address
- 7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553 - Phone
- (206) 708-7274
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60942731 | WA | |
| Mental Health Counselor | 101YM0800X | MC60986873 | WA | |
| Counselor | 101Y00000X | LH61410541 | WA | Primary |
Addresses
Primary practice location
7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553
Mailing address
610 N Michigan St
Aberdeen, WA 98520-3328
Phone (206) 683-3584
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | h.duong@iacts03.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61410541 | WA | MD | Counselor |
| CO60942731 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| MC60986873 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Leon, IA
- NPI 1770521981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1497218481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MICHIGAN ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985203328",
"telephone_number": "206-683-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 FORT DENT WAY STE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981888553",
"telephone_number": "206-708-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "HEIDI",
"middle_name": "ANN",
"credential": "LMHC LH61410541",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60942731",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60986873",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH61410541",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "h.duong@iacts03.org",
"affiliation": "N",
"endpointDescription": "company email",
"address_1": "8811 S Tacoma Way",
"city": "Lakewood",
"state": "WA",
"country_code": "US",
"postal_code": "984994595",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.