Individual provider Active NPI

Joey DD Pickering, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1548319072
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010832 Issued in WA
Practice address
650 S Orcas St
Suite 218
Seattle, WA 98108-2652
Phone
(206) 550-3830
Fax
(888) 965-3605
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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 LH00010832 WA Primary

Addresses

Primary practice location

650 S Orcas St
Suite 218
Seattle, WA 98108-2652

Mailing address

650 S Orcas St
Suite 218
Seattle, WA 98108-2652
Phone (206) 550-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 21, 2024 through Nov 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00010832WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1548319072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S ORCAS ST",
            "address_2": "SUITE 218",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082652",
            "telephone_number": "206-550-3830",
            "fax_number": "888-965-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S ORCAS ST",
            "address_2": "SUITE 218",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082652",
            "telephone_number": "206-550-3830",
            "fax_number": "888-965-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "JOEY",
        "middle_name": "DD",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.