Active NPI
Erik Ringsrud Mildes, M.A., L.M.H.C.
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1629135454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011148
- Practice address
- 444 NE Ravenna Blvd
Suite 308
Seattle, WA 98115-8436 - Phone
- (206) 999-4534
- Fax
- (206) 238-8644
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 | LH00011148 | WA | Primary |
Addresses
Primary practice location
444 NE Ravenna Blvd
Suite 308
Seattle, WA 98115-8436
Mailing address
6216 185TH PL SW
Lynnwood, WA 98037-7231
Phone (206) 999-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011148 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Northwest Christian Counseling PLLC | Past | Accepting new patients |
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.
-
- Point of Service
- Everett, WA
- NPI 1366859159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1629135454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 185TH PL SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980377231",
"telephone_number": "206-999-4534",
"fax_number": "206-238-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 NE RAVENNA BLVD",
"address_2": "SUITE 308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158436",
"telephone_number": "206-999-4534",
"fax_number": "206-238-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILDES",
"first_name": "ERIK",
"middle_name": "RINGSRUD",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.