Individual provider Active NPI

Deborah Nessim, LMHC

  • Mental Health Counselor
  • Woodinville, WA
National Provider Identifier
1619335569
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60977237 Issued in WA
Practice address
14241 NE Woodinville Duvall Rd # 324
Woodinville, WA 98072-8564
Phone
(425) 686-5676
Fax
(425) 368-7629
NPI assigned
Feb 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 LH60977237 WA Primary

Addresses

Primary practice location

14241 NE Woodinville Duvall Rd # 324
Woodinville, WA 98072-8564

Mailing address

14241 NE Woodinville Duvall Rd # 324
Woodinville, WA 98072-8564
Phone (425) 686-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60977237WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1619335569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 NE WOODINVILLE DUVALL RD # 324",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728564",
            "telephone_number": "425-686-5676",
            "fax_number": "425-368-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 NE WOODINVILLE DUVALL RD # 324",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728564",
            "telephone_number": "425-686-5676",
            "fax_number": "425-368-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSIM",
        "first_name": "DEBORAH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60977237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.