Active NPI
Rachel Diane Gordon, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1518472349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60747138
- Practice address
- 13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124 - Phone
- (206) 672-8075
- NPI assigned
- Dec 1, 2017
- Last updated
- Oct 30, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60747138 | WA | Primary |
Addresses
Primary practice location
13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124
Mailing address
13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124
Phone (206) 548-3058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1518472349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13741 15TH AVE NE APT C6",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253124",
"telephone_number": "206-548-3058",
"fax_number": "206-752-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13741 15TH AVE NE APT C6",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253124",
"telephone_number": "206-672-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "RACHEL",
"middle_name": "DIANE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60747138",
"primary": true
}
],
"identifiers": [],
"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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.