Individual provider Active NPI

Justyna Lembicz, LMHC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1548643448
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60706478 Issued in WA
Practice address
9757 NE Juanita Dr Ste 214
Kirkland, WA 98034-4291
Phone
(425) 358-8898
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LH60706478 WA Primary

Addresses

Primary practice location

9757 NE Juanita Dr Ste 214
Kirkland, WA 98034-4291

Mailing address

9757 NE Juanita Dr Ste 214
Kirkland, WA 98034-4291
Phone (425) 358-8898

Other practice location 1

16150 NE 85th St Ste 220
Redmond, WA 98052-3546
Phone (425) 558-0558

Other identifiers 1

IdentifierTypeStateIssuer
LH60706478OtherWAWASHINGTON STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60706478WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sandbox Therapy Group, Inc. Mental Health PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 1

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548643448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 NE JUANITA DR STE 214",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344291",
            "telephone_number": "425-358-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 NE JUANITA DR STE 214",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344291",
            "telephone_number": "425-358-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16150 NE 85th St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523546",
            "country_code": "US",
            "telephone_number": "425-558-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMBICZ",
        "first_name": "JUSTYNA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60706478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "LH60706478",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.