Individual provider Active NPI

Leif Nesse

  • Mental Health Counselor
  • Blaine, WA
National Provider Identifier
1669220414
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHCA.MC.70045066 Issued in WA
Practice address
288 Martin St
Blaine, WA 98230-4045
Phone
(360) 788-4228
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 MHCA.MC.70045066 WA Primary

Addresses

Primary practice location

288 Martin St
Blaine, WA 98230-4045

Mailing address

1406 E Republican St Apt 308
Seattle, WA 98112-4788
Phone (312) 933-3400

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

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1669220414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E REPUBLICAN ST APT 308",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124788",
            "telephone_number": "312-933-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304045",
            "telephone_number": "360-788-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSE",
        "first_name": "LEIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.70045066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.