Jeffrey Burdette Serage, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60159999 Issued in WA

Practice address

1800 Westlake Ave N
Suite 303
Seattle, WA 98109-2782

Phone

(206) 271-1988

Fax

(206) 969-0908

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730416785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 44TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362031",
            "telephone_number": "206-271-1988",
            "fax_number": "206-969-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N",
            "address_2": "SUITE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092782",
            "telephone_number": "206-271-1988",
            "fax_number": "206-969-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAGE",
        "first_name": "JEFFREY",
        "middle_name": "BURDETTE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60159999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Project PLLC
• Sequoia Teen Counseling Center LLC
• Ethan Brett Seracka, LMFT
• Mikaela Serafin, MDIV, MA, LMHCA
• Kelly A Serafini, MA
• Makeda Seraile, LMP
• Michael Seraphim
• Nancy Ann Serejch, LMP
• Serena Tham DMD PLLC
• Serenity Psychiatry

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.