Washington Mental Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WASHINGTON MENTAL HEALTH SERVICES

Practice address

33169 Crystal Ave SE
Black Diamond, WA 98010-5025

Phone

(206) 359-1755

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Sandra Martinez

Title

Owner / Member

Phone

(206) 359-1755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1528891561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33169 CRYSTAL AVE SE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980105025",
            "telephone_number": "206-359-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33169 CRYSTAL AVE SE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980105025",
            "telephone_number": "206-359-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3503 88th Ave SE Apt 348",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980406274",
            "country_code": "US",
            "telephone_number": "206-949-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASHINGTON MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "206-359-1755"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanija Tubbs
• Stacey Jonelle Van Tassel, L.M.P.
• Liliana Vasquez Rivera
• Endre Ferenc Voros, LMHC
• Candice Marie Wampler
• Lisa Wiggins, RN, BSN
• Yancy T. Sipes DDS PS

• Mental Health Counselor in Black Diamond, WA
• Providers in Black Diamond, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.