Individual provider Active NPI

Aphrodite Tatla Beidler, M.ED., M.A.

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1710177399
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011009 Issued in WA
Practice address
1601 114TH Ave SE
Suite 180
Bellevue, WA 98004-6950
Phone
(425) 451-1134
Fax
(425) 451-8501
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 LH00011009 WA Primary

Addresses

Primary practice location

1601 114TH Ave SE
Suite 180
Bellevue, WA 98004-6950

Mailing address

1601 114TH Ave SE
Suite 180
Bellevue, WA 98004-6950
Phone (425) 451-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
LH00011009WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Counseling Center LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

404 Bradley Blvd
Ste 205
Richland, WA 99352
Phone (443) 869-0357

Organizations & group practices 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1710177399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 114TH AVE SE",
            "address_2": "SUITE 180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046950",
            "telephone_number": "425-451-1134",
            "fax_number": "425-451-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 114TH AVE SE",
            "address_2": "SUITE 180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046950",
            "telephone_number": "425-451-1134",
            "fax_number": "425-451-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDLER",
        "first_name": "APHRODITE",
        "middle_name": "TATLA",
        "name_prefix": "Ms.",
        "credential": "M.ED., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.