Individual provider Active NPI

Hannah Alcoba, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1700437159
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61399538 Issued in WA
Practice address
14523 15TH Ave W
Lynnwood, WA 98087-6258
Phone
(253) 508-8997
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61399538 WA Primary

Addresses

Primary practice location

14523 15TH Ave W
Lynnwood, WA 98087-6258

Mailing address

14523 15TH Ave W
Lynnwood, WA 98087-6258
Phone (425) 200-4424

Other practice location 1

3400 188th St SW Ste 401
Lynnwood, WA 98037-4793
Phone (425) 200-4424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH61399538WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1700437159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 15TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876258",
            "telephone_number": "425-200-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 15TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876258",
            "telephone_number": "253-508-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 188th St SW Ste 401",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374793",
            "country_code": "US",
            "telephone_number": "425-200-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCOBA",
        "first_name": "HANNAH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61399538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.