Organization Active NPI

Kelch & McIntyre Counseling Associates

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1699969584
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005018 Issued in WA
Legal business name
KELCH & MCINTYRE COUNSELING ASSOCIATES
Practice address
7817 12TH Ave NE
Seattle, WA 98115-4320
Phone
(206) 522-2808
Fax
(360) 638-1308
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Marilyn C McIntyre, MSW, LICSW
Title
VP
Phone
(206) 522-2808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW00005018 WA Primary

Addresses

Primary practice location

7817 12TH Ave NE
Seattle, WA 98115-4320

Mailing address

7817 12TH Ave NE
Seattle, WA 98115-4320
Phone (206) 522-2808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1699969584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 12TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154320",
            "telephone_number": "206-522-2808",
            "fax_number": "360-638-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 12TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154320",
            "telephone_number": "206-522-2808",
            "fax_number": "360-638-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELCH & MCINTYRE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "206-522-2808",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005018",
            "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 Sep 4, 2007; 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.