Active NPI
Stephanie Hurst
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1578111886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60214683
- Practice address
- 12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950 - Phone
- (425) 224-3784
- NPI assigned
- Aug 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60214683 | WA | Primary |
Addresses
Primary practice location
12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950
Mailing address
7924 236TH St SW Apt 212
Edmonds, WA 98026-8837
Phone (916) 955-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851568406 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | None |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60214683 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1578111886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7924 236TH ST SW APT 212",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268837",
"telephone_number": "916-955-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 113TH AVE NE STE 210",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346950",
"telephone_number": "425-224-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60214683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851568406",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "None",
"affiliation": "N",
"endpointDescription": "I currently do not use an endpoint via computer. I use phone or fax",
"address_1": "12220 113th Ave NE Ste 210",
"city": "Kirkland",
"state": "WA",
"country_code": "US",
"postal_code": "980346950",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.