Matthew Bagayas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61004099 Issued in WA

Practice address

10015 Lake City Way NE
Suite 441
Seattle, WA 98125-7770

Phone

(206) 954-3348

NPI assigned

Jun 28, 2016

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Intention Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1295184133
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1780035063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 LAKE CITY WAY NE",
            "address_2": "MB 217 DEPT 9B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 LAKE CITY WAY NE",
            "address_2": "SUITE 441",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257770",
            "telephone_number": "206-954-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGAYAS",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC 60491269",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61004099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Baeza Anton, MD
• Jeff Bafus, LMFTA
• Arthur Estrada Bagabag, MD
• Reem Bagajati, MSCOT
• Rocco Paul Bagala, LICSW
• Joshua Bagdon, LMT
• Michael Brendan Bagg, MD
• Jodi Renae Bagge, MA, LMHCA
• Molly K. Baggett, M.D.
• Rana Bagheri, DO

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.