Active NPI
Blake Thompson, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1689027922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60884873
- Practice address
- 1904 3Rd Ave Ste 923
Seattle, WA 98101-1191 - Phone
- (206) 503-3753
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60884873 | WA | Primary |
Addresses
Primary practice location
1904 3Rd Ave Ste 923
Seattle, WA 98101-1191
Mailing address
1904 3Rd Ave Ste 923
Seattle, WA 98101-1191
Phone (206) 503-3753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH60884873 | Other | WA | WA STATE DEPARTMENT OF HEALTH LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60884873 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Anxiety, PLLC | Mental Health | Current | Accepting new patients |
Locations
1904 3rd Ave
Ste 923
Seattle, WA 98101
Phone (206) 503-3753
1904 3rd Ave
Ste 623
Seattle, WA 98101
Phone (206) 309-5990
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": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1689027922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 3RD AVE STE 923",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011191",
"telephone_number": "206-503-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 3RD AVE STE 923",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011191",
"telephone_number": "206-503-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BLAKE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60884873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH LICENSE NUMBER",
"identifier": "LH60884873",
"state": "WA"
}
],
"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 Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.