Active NPI
Deborah Jean Nielsen, MFT
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1497818355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LF61400079
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659433191 | Other | CA | TIHP NPI |
| FHC11576F | Medicaid | CA | |
| THP11576F | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LF61400079 | WA | MD | Mental Health Counselor |
| MFC32618 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toiyabe Indian Health Project, Inc | Past | Accepting new patients | |
| Toiyabe Indian Health Project, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinic Pharmacy
- Bishop, CA
- NPI 1093720609
-
- Federally Qualified Health Center (FQHC)
- Bishop, CA
- NPI 1659433191
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.