Individual provider Active NPI

Phillip Allen Pumphrey

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1619693389
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
711 6TH Ave N Ste 101
Seattle, WA 98109-4213
Phone
(206) 501-3730
NPI assigned
Oct 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 Primary

Addresses

Primary practice location

711 6TH Ave N Ste 101
Seattle, WA 98109-4213

Mailing address

915 Queen Anne Ave N Apt 607
Seattle, WA 98109-3681
Phone (669) 225-6847

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillipp@seattleclubhouse.org

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

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1619693389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 QUEEN ANNE AVE N APT 607",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093681",
            "telephone_number": "669-225-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 6TH AVE N STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094213",
            "telephone_number": "206-501-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "PHILLIP",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillipp@seattleclubhouse.org",
            "affiliation": "N",
            "address_1": "711 6th Ave N Ste 101",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981094213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.