Individual provider Active NPI

Alison Monroe Boeke, RDN, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1700399847
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60999079 Issued in WA
Practice address
1900 N Northlake Way Ste 127
Seattle, WA 98103-9051
Phone
(206) 415-8345
NPI assigned
Nov 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Registered Dietitian 133V00000X DI60788419 WA
Mental Health Counselor 101YM0800X 60999079 WA Primary

Addresses

Primary practice location

1900 N Northlake Way Ste 127
Seattle, WA 98103-9051

Mailing address

313 150TH St SE
Lynnwood, WA 98087-6733
Phone (817) 366-6032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60999079WAMDMental Health Counselor
DI60788419WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1700399847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 150TH ST SE",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876733",
            "telephone_number": "817-366-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N NORTHLAKE WAY STE 127",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039051",
            "telephone_number": "206-415-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKE",
        "first_name": "ALISON",
        "middle_name": "MONROE",
        "credential": "RDN, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60788419",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60999079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.