Individual provider Active NPI

Barbara Blywise, MA, LMHC

  • Mental Health Counselor
  • Federal Way, WA
National Provider Identifier
1679620272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00007565 Issued in WA
Practice address
402 S 333Rd St
Suite 129
Federal Way, WA 98003-6309
Phone
(253) 929-1529
Fax
(253) 874-4382
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00007565 WA Primary

Addresses

Primary practice location

402 S 333Rd St
Suite 129
Federal Way, WA 98003-6309

Mailing address

402 S 333Rd St
Suite 129
Federal Way, WA 98003-6309
Phone (253) 929-1529

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00007565WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679620272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST",
            "address_2": "SUITE 129",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036309",
            "telephone_number": "253-929-1529",
            "fax_number": "253-874-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST",
            "address_2": "SUITE 129",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036309",
            "telephone_number": "253-929-1529",
            "fax_number": "253-874-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYWISE",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.