Scott Radetski, LMHCA, M-DIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60187578 Issued in WA

Practice address

18657 St Hwy 305 NE
Suite 114
Poulsbo, WA 98370-8418

Phone

(360) 536-2824

NPI assigned

Jan 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1619215803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20595 HWY 305NE",
            "address_2": "ALLIES MILITARY MINISTRY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709019",
            "telephone_number": "360-536-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18657 ST HWY 305 NE",
            "address_2": "SUITE 114",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708418",
            "telephone_number": "360-536-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADETSKI",
        "first_name": "SCOTT",
        "credential": "LMHCA, M-DIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60187578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie P Radner, LIC. AC.
• Rachel Ramey
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• Carol Ann Rappaport, MD
• Linda Ann Raquer, MA CCC SLP

• Mental Health Counselor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.