Organization Active NPI

Mindy Maxwell Clinical Services PLLC

  • Community/Behavioral Health Agency
  • Burien, WA
National Provider Identifier
1659875813
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Ms. Mindy M Maxwell, LMHCNPI 1386989432
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LH00009158OtherWALMHC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.