Seattle Social Skills Support LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00005351 Issued in WA

Legal business name

SEATTLE SOCIAL SKILLS SUPPORT LLC

Practice address

4026 NE 55TH St Ste D175
Seattle, WA 98105-2254

Phone

(206) 227-6294

Fax

(206) 366-9630

NPI assigned

Oct 8, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Ruth Dawson, LMHC

Title

Partner/Owner

Phone

(206) 227-6294

Specialties & licenses 1

Addresses

Tax ID family

Seattle Asperger'S Support LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seattle Asperger'S Support LLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1508276395
  NPD tax ID

Locations

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

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1700160702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 NE 55TH ST STE D175",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052254",
            "telephone_number": "206-227-6294",
            "fax_number": "206-366-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 NE 55TH ST STE D175",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052254",
            "telephone_number": "206-227-6294",
            "fax_number": "206-366-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE SOCIAL SKILLS SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "206-227-6294",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.