Individual provider Active NPI

Judith Monique Windleharth

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1558834960
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61192830 Issued in WA
Practice address
12542 5TH Ave NE
Seattle, WA 98125-3901
Phone
(425) 655-7925
Fax
(425) 655-7949
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 61192830 WA Primary

Addresses

Primary practice location

12542 5TH Ave NE
Seattle, WA 98125-3901

Mailing address

12542 5TH Ave NE
Seattle, WA 98125-3901
Phone (425) 655-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61192830WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Youth and Family Services PastSince Sep 5, 2023 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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1558834960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12542 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253901",
            "telephone_number": "425-655-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12542 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253901",
            "telephone_number": "425-655-7925",
            "fax_number": "425-655-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLEHARTH",
        "first_name": "JUDITH",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61192830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.