Active NPI
Pegasus Counseling, LLC
- Clinical Social Worker
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890056470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Bohen, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Seattle, WA
- NPI 1689997686
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.