Individual provider Active NPI

Laura Emma Matheson

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1497287445
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LF61188799 Issued in WA
Practice address
1123 Maple Ave SW Ste 220
Renton, WA 98057-3100
Phone
(206) 659-5504
Fax
(206) 613-0866
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X LF61188799 WA Primary

Addresses

Primary practice location

1123 Maple Ave SW Ste 220
Renton, WA 98057-3100

Mailing address

12638 SE 160TH St
Renton, WA 98058-4718
Phone (206) 819-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF61188799WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Therapy PLLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

14205 SE 36th St
Ste 100
Bellevue, WA 98006
Phone (206) 800-0593

707 S Grady Way
Ste 600
Renton, WA 98057
Phone (206) 257-2987

1123 Maple Ave SW
Ste 220
Renton, WA 98057
Phone (206) 659-5504

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lauramatheson@147765.advancedmd-direct.com

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1497287445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12638 SE 160TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980584718",
            "telephone_number": "206-819-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 MAPLE AVE SW STE 220",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573100",
            "telephone_number": "206-659-5504",
            "fax_number": "206-613-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "LAURA",
        "middle_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF61188799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.