Active NPI
Mindy Maxwell Clinical Services PLLC
- Community/Behavioral Health Agency
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MINDY MAXWELL CLINICAL SERVICES PLLC
- Practice address
- 652 SW 150TH St Apt a
Burien, WA 98166-4613 - Phone
- (415) 903-0452
- NPI assigned
- Mar 22, 2018
- Last updated
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mindy M Maxwell, LMHC
- Title
- Owner
- Phone
- (206) 402-8388
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
652 SW 150TH St Apt a
Burien, WA 98166-4613
Mailing address
652 SW 150TH St Ste a
Burien, WA 98166-4613
Phone (415) 903-0452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00009158 | Other | WA | LMHC |
National Provider Directory
National Provider DirectoryLocations
2201 SW 152nd St
Ste 2
Burien, WA 98166
652 SW 150th St
Apt A
Burien, WA 98166
Phone (206) 920-9929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Burien, WA
- NPI 1386989432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1659875813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 SW 150TH ST STE A",
"city": "BURIEN",
"state": "WA",
"postal_code": "981664613",
"telephone_number": "415-903-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 SW 150TH ST APT A",
"city": "BURIEN",
"state": "WA",
"postal_code": "981664613",
"telephone_number": "415-903-0452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDY MAXWELL CLINICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-22",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "MINDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-402-8388",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "LH00009158",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.