Individual provider Active NPI

Frederick Cheng Wang, LMHC

  • Professional Counselor
  • Seattle, WA
National Provider Identifier
1659875086
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2400 NE 95TH St
Seattle, WA 98115-2426
Phone
(206) 549-0968
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60835835 WA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2400 NE 95TH St
Seattle, WA 98115-2426

Mailing address

12105 NE 171St PL Apt A302
Bothell, WA 98011-6460
Phone (425) 223-2953

Other practice location 1

1700 NW Gilman Blvd Ste 200
Issaquah, WA 98027-5364
Phone (425) 295-7697

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60835835WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kathleen Worsley PastSince Nov 1, 2023 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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1659875086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 NE 171ST PL APT A302",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980116460",
            "telephone_number": "425-223-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NE 95TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152426",
            "telephone_number": "206-549-0968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 NW Gilman Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980275364",
            "country_code": "US",
            "telephone_number": "425-295-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "FREDERICK",
        "middle_name": "CHENG",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60835835",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Mar 18, 2025; 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.