Individual provider Active NPI

Sivie Suckerman, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1538484274
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60177889 Issued in WA
Practice address
4316 SW Othello St Ste 15
Seattle, WA 98136-2074
Phone
(206) 580-3895
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60177889 WA Primary

Addresses

Primary practice location

4316 SW Othello St Ste 15
Seattle, WA 98136-2074

Mailing address

6523 California Ave SW Ste 44
Seattle, WA 98136-1833
Phone (206) 580-3895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002742 WA Practitioner - Mental Health Counselor 2961943006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jul 15, 2024 Accepting new patients
Neighborcare Health CurrentSince Jul 15, 2024 Accepting new patients
Suckerman Counseling PLLC CurrentSince Nov 24, 2024 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health Current Accepting new patients

Locations

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6523 California Ave SW
Seattle, WA 98136
Phone (206) 653-1804

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

4316 SW Othello St
Ste 15
Seattle, WA 98136
Phone (206) 580-3895

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Organizations & group practices 5

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1538484274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 CALIFORNIA AVE SW STE 44",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361833",
            "telephone_number": "206-580-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 SW OTHELLO ST STE 15",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362074",
            "telephone_number": "206-580-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCKERMAN",
        "first_name": "SIVIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60177889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.