Individual provider Active NPI

Melissa R Wohlhueter

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1689720294
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60229730 Issued in WA
Practice address
2260 Carillon PT
Kirkland, WA 98033-7446
Phone
(425) 828-0100
Fax
(425) 828-6839
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 LH 60229730 WA Primary

Addresses

Primary practice location

2260 Carillon PT
Kirkland, WA 98033-7446

Mailing address

1809 41St Ave E
#304
Seattle, WA 98112-3284
Phone (425) 772-2294

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

State licenses

LicenseStateTypeSpecialty
LH 60229730WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1689720294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 41ST AVE E",
            "address_2": "#304",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123284",
            "telephone_number": "425-772-2294",
            "fax_number": "425-828-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337446",
            "telephone_number": "425-828-0100",
            "fax_number": "425-828-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLHUETER",
        "first_name": "MELISSA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60229730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.