Individual provider Active NPI

Deborah Jean Nielsen, MFT

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1497818355
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LF61400079 Issued in WA
Practice address
100 Denny Way
Seattle, WA 98109-4049
Phone
(206) 888-4894
Fax
(206) 339-1499
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 LF61400079 WA Primary
Marriage & Family Therapist 106H00000X MFC32618 CA

Addresses

Primary practice location

100 Denny Way
Seattle, WA 98109-4049

Mailing address

12016 Bartlett Ave NE
Seattle, WA 98125-5837
Phone (760) 937-5361

Other practice location 1

12016 Bartlett Ave NE
Seattle, WA 98125-5837
Phone (760) 937-5361

Other identifiers 3

IdentifierTypeStateIssuer
1659433191OtherCATIHP NPI
FHC11576FMedicaidCA
THP11576FMedicaidCA

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

State licenses

LicenseStateTypeSpecialty
LF61400079WAMDMental Health Counselor
MFC32618CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc PastSince Jun 11, 2015 Accepting new patients
Toiyabe Indian Health Project, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1497818355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 BARTLETT AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255837",
            "telephone_number": "760-937-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DENNY WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094049",
            "telephone_number": "206-888-4894",
            "fax_number": "206-339-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12016 Bartlett Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981255837",
            "country_code": "US",
            "telephone_number": "760-937-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF61400079",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIHP NPI",
            "identifier": "1659433191",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11576F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.