Individual provider Active NPI

Ashley McCutchen

  • Mental Health Counselor
  • Bothell, WA
National Provider Identifier
1720615446
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61128313 Issued in WA
Practice address
12900 NE 180TH St Ste 160
Bothell, WA 98011-5778
Phone
(206) 350-7506
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 MC61128313 WA Primary

Addresses

Primary practice location

12900 NE 180TH St Ste 160
Bothell, WA 98011-5778

Mailing address

13401 NE Bel Red Rd Ste B12
Bellevue, WA 98005-2322
Phone (206) 350-7506

Other practice location 1

13401 NE Bel Red Rd Ste B12
Bellevue, WA 98005-2322
Phone (206) 350-7506

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61128313WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Therapy, LLC Mental Health PastSince Sep 5, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1720615446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 NE BEL RED RD STE B12",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052322",
            "telephone_number": "206-350-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 160",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115778",
            "telephone_number": "206-350-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13401 NE Bel Red Rd Ste B12",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052322",
            "country_code": "US",
            "telephone_number": "206-350-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61128313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.