Organization Active NPI

Spruce Grove Counseling LLC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1528811734
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPRUCE GROVE COUNSELING LLC
Doing business as
Spruce Grove Counseling
Practice address
2337 148TH Ave NE
Bellevue, WA 98007-3733
Phone
(425) 659-8912
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Sean F Macgugan, LMHCNPI 1639692528
Title
Owner/Provider
Phone
(425) 659-8912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2337 148TH Ave NE
Bellevue, WA 98007-3733

Mailing address

5393 175TH PL SE
Bellevue, WA 98006-5911
Phone (425) 659-8912

Other names 1

  • Spruce Grove Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2337 148th Ave NE
Bellevue, WA 98007
Phone (425) 659-8912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1528811734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 175TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065911",
            "telephone_number": "425-659-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 148TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073733",
            "telephone_number": "425-659-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRUCE GROVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MACGUGAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "425-659-8912",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Grove Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.