Individual provider Active NPI

Eileen Doris Wurst, LMHC

  • Professional Counselor
  • Seattle, WA
National Provider Identifier
1578886404
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LH60148443 Issued in WA
Practice address
753 N 35TH St Ste 208
Seattle, WA 98103-8889
Phone
(206) 947-7687
NPI assigned
Mar 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH60148443 WA
Mental Health Counselor 101YM0800X LH60148443 WA
Professional Counselor 101YP2500X LH60148443 WA Primary

Addresses

Primary practice location

753 N 35TH St Ste 208
Seattle, WA 98103-8889

Mailing address

7709 8TH Ave SW
Seattle, WA 98106-2007
Phone (206) 947-7687

Other practice location 1

3213 Harbor Ave SW Ste 1
Seattle, WA 98126-4600
Phone (206) 947-7687

Other practice location 2

7709 8th Ave SW
Seattle, WA 98106-2007
Phone (206) 947-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002030 WA Practitioner - Mental Health Counselor 6002358975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deylight Corporation Professional Services Mental Health CurrentSince Feb 13, 2024 Accepting new patients

Locations

753 N 35th St
Ste 208D
Seattle, WA 98103
Phone (206) 462-5830

753 N 35th St
Ste 208
Seattle, WA 98103
Phone (206) 467-2611

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": "1267833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1578886404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 8TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062007",
            "telephone_number": "206-947-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038889",
            "telephone_number": "206-947-7687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3213 Harbor Ave SW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981264600",
            "country_code": "US",
            "telephone_number": "206-947-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7709 8th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062007",
            "country_code": "US",
            "telephone_number": "206-947-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WURST",
        "first_name": "EILEEN",
        "middle_name": "DORIS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60148443",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60148443",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60148443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.