NPIMap

Organization Active NPI

My West Seattle Therapist, PLLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1689177818
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60754240 Issued in WA
Legal business name
MY WEST SEATTLE THERAPIST, PLLC
Practice address
5639 California Ave SW # B
Seattle, WA 98136-1514
Phone
(206) 419-2989
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Terrie Eshom, LMHC
Title
Owner/Therapist
Phone
(206) 419-2989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH60754240 WA Primary

Addresses

Primary practice location

5639 California Ave SW # B
Seattle, WA 98136-1514

Mailing address

5639 California Ave SW # B
Seattle, WA 98136-1514
Phone (206) 419-2989

National Provider Directory

National Provider Directory

Locations

5639 California Ave SW
#B
Seattle, WA 98136
Phone (206) 419-2989

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1689177818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 CALIFORNIA AVE SW # B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361514",
            "telephone_number": "206-419-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 CALIFORNIA AVE SW # B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361514",
            "telephone_number": "206-419-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WEST SEATTLE THERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "ESHOM",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "206-419-2989",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60754240",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 14, 2018; 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.