Organization Active NPI

Novo Life Counseling

  • Clinic/Center
  • Kirkland, WA
National Provider Identifier
1730653312
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVO LIFE COUNSELING
Practice address
10512 NE 68TH St Ste 101
Kirkland, WA 98033-7062
Phone
(206) 659-5665
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Leanne Alise Konzelman, LMHCANPI 1578976122
Title
Founder
Phone
(206) 659-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10512 NE 68TH St Ste 101
Kirkland, WA 98033-7062

Mailing address

10512 NE 68TH St Ste 101
Kirkland, WA 98033-7062
Phone (206) 659-5665

Other practice location 1

426 N Meridian
Puyallup, WA 98371-8636
Phone (206) 659-5665

National Provider Directory

National Provider Directory

Locations

10512 NE 68th St
Ste 101
Kirkland, WA 98033
Phone (206) 486-5039

426 N Meridian
Puyallup, WA 98371
Phone (253) 495-9707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1730653312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 NE 68TH ST STE 101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337062",
            "telephone_number": "206-659-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 NE 68TH ST STE 101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337062",
            "telephone_number": "206-659-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 N Meridian",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983718636",
            "country_code": "US",
            "telephone_number": "206-659-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVO LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "KONZELMAN",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-659-5665",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.