Individual provider Active NPI

Nathan Allen Feuerborn, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1639642135
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60858641 Issued in WA
Practice address
123 NW 36TH St Ste 210
Seattle, WA 98107-4959
Phone
(206) 310-8812
NPI assigned
Jan 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 LH60858641 WA Primary

Addresses

Primary practice location

123 NW 36TH St Ste 210
Seattle, WA 98107-4959

Mailing address

1464 21St Ave
Seattle, WA 98122-2904
Phone (206) 310-8812

Other practice location 1

1464 21st Ave
Seattle, WA 98122-2904
Phone (206) 310-8812

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 Arts

State licenses

LicenseStateTypeSpecialty
LH60858641WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1639642135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 21ST AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222904",
            "telephone_number": "206-310-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 36TH ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074959",
            "telephone_number": "206-310-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1464 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981222904",
            "country_code": "US",
            "telephone_number": "206-310-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEUERBORN",
        "first_name": "NATHAN",
        "middle_name": "ALLEN",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60858641",
            "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 Jan 7, 2019; 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.