Organization Active NPI

Life Roots Counseling, PLLC

  • Community/Behavioral Health Agency
  • Everett, WA
National Provider Identifier
1750741245
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LW60151170 Issued in WA
Legal business name
LIFE ROOTS COUNSELING, PLLC
Practice address
1721 Hewitt Ave Ste 419
Everett, WA 98201-3546
Phone
(360) 863-2934
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Monica Marie Steadman, MSW,LICSW
Title
Licsw
Phone
(360) 863-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LW60151170 WA Primary

Addresses

Primary practice location

1721 Hewitt Ave Ste 419
Everett, WA 98201-3546

Mailing address

420 Union Ave
Snohomish, WA 98290-2828
Phone (360) 863-2934

National Provider Directory

National Provider Directory

Locations

1721 Hewitt Ave
Ste 419
Everett, WA 98201
Phone (360) 863-2934

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1750741245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 UNION AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902828",
            "telephone_number": "360-863-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 HEWITT AVE STE 419",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013546",
            "telephone_number": "360-863-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ROOTS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "STEADMAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "360-863-2934",
        "authorized_official_credential": "MSW,LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW60151170",
            "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 Feb 26, 2016; 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.