Individual provider Active NPI

James Boulding-Bridges, LPC, CST

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1699330076
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61168984 Issued in WA
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

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
3741CTMDMental Health Counselor
LH61168984WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.