Individual provider Active NPI

Janice Marie Palm, LMHC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1700920204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004597 Issued in WA
Practice address
11416 Slater Ave NE Ste 202C
Kirkland, WA 98033-4600
Phone
(206) 781-3532
Fax
(425) 889-0139
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00004597 WA Primary

Addresses

Primary practice location

11416 Slater Ave NE Ste 202C
Kirkland, WA 98033-4600

Mailing address

11416 Slater Ave NE Ste 202C
Kirkland, WA 98033-4600
Phone (206) 781-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002983 WA Practitioner - Mental Health Counselor 4587106570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11416 Slater Ave NE
Suite 202C
Kirkland, WA 98033-4600
Phone (206) 781-3532

2601 Broadway E
Seattle, WA 98102-3906
Phone (206) 323-7131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janice M Palm Ma LMHC Inc CurrentSince Nov 10, 2024 Accepting new patients
Roanoke Park Counseling Mental Health CurrentSince Feb 11, 2026 Accepting new patients

Locations

11416 Slater Ave NE
Ste 202C
Kirkland, WA 98033
Phone (206) 393-7111

Organizations & group practices 2

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700920204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE STE 202C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334600",
            "telephone_number": "206-781-3532",
            "fax_number": "425-889-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE STE 202C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334600",
            "telephone_number": "206-781-3532",
            "fax_number": "425-889-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.