Active NPI
Laurie Geoge Scullin, MS ED LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1629346200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00007239
- Practice address
- 600 N 36TH St Ste 222
Seattle, WA 98103-8697 - Phone
- (206) 909-7339
- NPI assigned
- Dec 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | LH 00007239 | WA | Primary |
Addresses
Primary practice location
600 N 36TH St Ste 222
Seattle, WA 98103-8697
Mailing address
600 N 36TH St
Seattle, WA 98103-8697
Phone (206) 909-7339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602 513 455 | Other | WA | UBI # |
| LH 00007239 | Other | WA | MENTAL HEALTH COUNSELOR LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 00007239 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1629346200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N 36TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038697",
"telephone_number": "206-909-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N 36TH ST STE 222",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038697",
"telephone_number": "206-909-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLIN",
"first_name": "LAURIE",
"middle_name": "GEOGE",
"name_prefix": "Mr.",
"credential": "MS ED LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00007239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI #",
"identifier": "602 513 455",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR LICENSE",
"identifier": "LH 00007239",
"state": "WA"
}
],
"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 Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.