Active NPI
Natasha Vlach, MA, LMHC
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1659620243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60526073
- Practice address
- 12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950 - Phone
- (206) 883-7792
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60526073 | WA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950
Mailing address
12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950
Phone (206) 883-7792
Other practice location 1
2722 Colby Ave
Ste 610
Everett, WA 98201-3557
Phone (425) 257-1621
Other names 1
- Natasha De Yager
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 28, 2024 through Mar 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60526073 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embracing Grace Counseling | Current | Accepting new patients |
Locations
12220 113th Ave NE
Ste 210
Kirkland, WA 98034
Phone (206) 925-3410
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1811742695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1659620243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12220 113TH AVE NE STE 210",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346950",
"telephone_number": "206-883-7792",
"fax_number": "425-257-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 113TH AVE NE STE 210",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346950",
"telephone_number": "206-883-7792"
}
],
"practiceLocations": [
{
"address_1": "2722 Colby Ave",
"address_2": "Ste 610",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013557",
"country_code": "US",
"telephone_number": "425-257-1621",
"fax_number": "425-257-1767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VLACH",
"first_name": "NATASHA",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60526073",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "DE YAGER",
"credential": "MA, LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.