Organization Active NPI

Pegasus Counseling, LLC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1750747762
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890056470 Issued in VT
Legal business name
PEGASUS COUNSELING, LLC
Practice address
1812 E Madison St Ste 107
Seattle, WA 98122-2873
Phone
(802) 356-1478
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Courtney Bohen, LICSWNPI 1689997686
Title
Owner
Phone
(802) 356-1478

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0890056470 VT Primary

Addresses

Primary practice location

1812 E Madison St Ste 107
Seattle, WA 98122-2873

Mailing address

1812 E Madison St Ste 107
Seattle, WA 98122-2873
Phone (802) 356-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111001453 WA Part B Supplier - Clinic/Group Practice 8123325172 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

516 Mill Rd
#3A
White River Junction, VT 05001
Phone (802) 356-1478

1812 E Madison St
Ste 107
Seattle, WA 98122
Phone (802) 356-1478

1143 Martin Luther King Jr Way
#103
Seattle, WA 98122

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1750747762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222873",
            "telephone_number": "802-356-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222873",
            "telephone_number": "802-356-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BOHEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-356-1478",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890056470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.