Individual provider Active NPI

Brenda J Smyk, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1770624280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006656 Issued in WA
Practice address
2717 33Rd Ave S
Seattle, WA 98144-5551
Phone
(206) 725-6233
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006656 WA Primary

Addresses

Primary practice location

2717 33Rd Ave S
Seattle, WA 98144-5551

Mailing address

2717 33Rd Ave S
Seattle, WA 98144-5551
Phone (206) 781-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 27, 2024 through Mar 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00006656WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770624280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 33RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981445551",
            "telephone_number": "206-781-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 33RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981445551",
            "telephone_number": "206-725-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYK",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.