Individual provider Active NPI

Christina Konrad, MACP, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1730557364
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60561744 Issued in WA
Practice address
16521 13TH Ave W
Suite 218
Lynnwood, WA 98037-8528
Phone
(425) 420-0455
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 LH60561744 WA Primary

Addresses

Primary practice location

16521 13TH Ave W
Suite 218
Lynnwood, WA 98037-8528

Mailing address

PO Box 14392
Mill Creek, WA 98082-2392
Phone (425) 420-0455

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

State licenses

LicenseStateTypeSpecialty
LH60561744WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1730557364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14392",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980822392",
            "telephone_number": "425-420-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W",
            "address_2": "SUITE 218",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378528",
            "telephone_number": "425-420-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRAD",
        "first_name": "CHRISTINA",
        "credential": "MACP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60561744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.