Active NPI
James Boulding-Bridges, LPC, CST
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1699330076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61168984
- Practice address
- 11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600 - Phone
- (206) 741-0742
- NPI assigned
- May 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3741 | CT | |
| Mental Health Counselor | 101YM0800X | LH61168984 | WA | Primary |
Addresses
Primary practice location
11416 Slater Ave NE Ste 100
Kirkland, WA 98033-4600
Mailing address
18344 Wallingford Ave N
Shoreline, WA 98133-4631
Phone (786) 988-0595
Other practice location 1
35 Boston St
Guilford, CT 06437-2817
Phone (203) 747-9783
Other practice location 2
605 Washington Ave
North Haven, CT 06473-1123
Phone (203) 747-9783
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3741 | CT | MD | Mental Health Counselor |
| LH61168984 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadler-Bridges Wellness Group | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Issaquah, WA
- NPI 1669177937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1699330076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18344 WALLINGFORD AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334631",
"telephone_number": "786-988-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11416 SLATER AVE NE STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334600",
"telephone_number": "206-741-0742"
}
],
"practiceLocations": [
{
"address_1": "35 Boston St",
"address_purpose": "LOCATION",
"city": "Guilford",
"state": "CT",
"postal_code": "064372817",
"country_code": "US",
"telephone_number": "203-747-9783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Washington Ave",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064731123",
"country_code": "US",
"telephone_number": "203-747-9783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULDING-BRIDGES",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LPC, CST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "3741",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61168984",
"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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.