Individual provider Active NPI

Erik Ringsrud Mildes, M.A., L.M.H.C.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1629135454
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011148 Issued in WA
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

Updated by the provider on Aug 7, 2013

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 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
LH00011148WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.