Eastside Women'S Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EASTSIDE WOMEN'S COUNSELING

Practice address

1621 114TH Ave SE Ste 224
Bellevue, WA 98004-6905

Phone

(206) 507-0289

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Carla Munger, LMHCNPI 1518388230

Title

Owner

Phone

(425) 350-0245

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Munger

  • Counselor
  • Issaquah, WA
  • NPI 1518388230
  NPD Authorized official

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1780155416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402223",
            "telephone_number": "425-350-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE STE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046905",
            "telephone_number": "206-507-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE WOMEN'S COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "MUNGER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-350-0245",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1518388230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF HEALTH",
            "identifier": "MC60312903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastside Pulmonary Associates Inc PS
• Eastside Recovery Group
• Eastside Rheumatology PLLC
• Eastside Surgical Associates, PLLC
• Eastside Vascular LLP
• Easy Access LLC
• Eating Recovery Center of Washington
• Eating Recovery Center of Washington
• Eating Recovery Center of Washington
• John Marshall Eaton, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.