Trista Mortensen Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60004175 Issued in WA

Legal business name

TRISTA MORTENSEN COUNSELING LLC

Practice address

916 N 1St St
Renton, WA 98057-5759

Phone

(206) 697-3281

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Trista N Mortensen, LICSW

Title

Owner Clinician

Phone

(206) 697-3281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1558894170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N 1ST ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575759",
            "telephone_number": "206-697-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N 1ST ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575759",
            "telephone_number": "206-697-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTA MORTENSEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER CLINICIAN",
        "authorized_official_telephone_number": "206-697-3281",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60004175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.