Active NPI
Mountainside Counseling LLC
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1750099651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MOUNTAINSIDE COUNSELING LLC
- Practice address
- 2722 Colby Ave Ste 602
Everett, WA 98201-3534 - Phone
- (425) 608-0729
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Burns
- Title
- Owner
- Phone
- (503) 349-0644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2722 Colby Ave Ste 602
Everett, WA 98201-3534
Mailing address
3414 188TH St NE
Arlington, WA 98223-8755
National Provider Directory
National Provider DirectoryLocations
2722 Colby Ave
Ste 602
Everett, WA 98201
Phone (425) 608-0729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1750099651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 188TH ST NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 COLBY AVE STE 602",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013534",
"telephone_number": "425-608-0729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINSIDE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-349-0644"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.