Individual provider Active NPI

Carly Christen, LMHC

  • Mental Health Counselor
  • Mountlake Terrace, WA
National Provider Identifier
1568013373
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61346001 Issued in WA
Practice address
21907 64TH Ave W Ste 330
Mountlake Terrace, WA 98043-6238
Phone
(206) 590-0985
NPI assigned
Sep 23, 2019
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 LH61346001 WA Primary

Addresses

Primary practice location

21907 64TH Ave W Ste 330
Mountlake Terrace, WA 98043-6238

Mailing address

21907 64TH Ave W Ste 330
Mountlake Terrace, WA 98043-6238
Phone (206) 590-0985

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
LH61346001WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound PastSince Sep 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1568013373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21907 64TH AVE W STE 330",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980436238",
            "telephone_number": "206-590-0985",
            "fax_number": "844-267-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21907 64TH AVE W STE 330",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980436238",
            "telephone_number": "206-590-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTEN",
        "first_name": "CARLY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61346001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.