Active NPI
Heather Leeann Rist, MA, LMHC
- Mental Health Counselor
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC.LH.70034134
- Practice address
- 21727 76TH Ave W Ste C
Edmonds, WA 98026-7549 - Phone
- (253) 475-6021
- Fax
- (206) 260-2903
- NPI assigned
- Mar 14, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHPL.MX.70034133 | WA | |
| Mental Health Counselor | 101YM0800X | MHC.LH.70034134 | WA | Primary |
| Professional Counselor | 101YP2500X | LPC-14159 | AZ |
Addresses
Primary practice location
21727 76TH Ave W Ste C
Edmonds, WA 98026-7549
Mailing address
PO Box 8550
Pasadena, CA 91109-8602
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 W Front St
Suite a
Port Angeles, WA 98362-2609
Phone (360) 452-7891
240 W Front St a
Port Angeles, WA 98362-2609
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MX70034133 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Olympic Healthcare Network | Current | Accepting new patients | |
| North Olympic Healthcare Network | Current | Accepting new patients |
Locations
933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432
240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891
1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Port Angeles, WA
- NPI 1154702264
-
- Federally Qualified Health Center (FQHC)
- Port Angeles, WA
- NPI 1639036924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1548535222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8550",
"city": "PASADENA",
"state": "CA",
"postal_code": "911098602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21727 76TH AVE W STE C",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267549",
"telephone_number": "253-475-6021",
"fax_number": "206-260-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIST",
"first_name": "HEATHER",
"middle_name": "LEEANN",
"name_prefix": "Ms.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHPL.MX.70034133",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHC.LH.70034134",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-14159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.