Active NPI
Daisy Elizabeth Deely, LMHCA
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1730857624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61324184
- Practice address
- 7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553 - Phone
- (206) 708-7274
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | MC61324184 | WA | Primary |
Addresses
Primary practice location
7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553
Mailing address
1037 NE 65TH St
Seattle, WA 98115-6655
Phone (206) 214-6831
Other practice location 1
10464 Forest Ave S
Seattle, WA 98178-2606
Phone (206) 214-6831
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61324184 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274
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": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1730857624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156655",
"telephone_number": "206-214-6831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 FORT DENT WAY STE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981888553",
"telephone_number": "206-708-7274"
}
],
"practiceLocations": [
{
"address_1": "10464 Forest Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981782606",
"country_code": "US",
"telephone_number": "206-214-6831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEELY",
"first_name": "DAISY",
"middle_name": "ELIZABETH",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61324184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.