Rebecca Lynn Waterston, MA, LMHCA, CDPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MA60498912 Issued in WA

Practice address

11417 124TH Ave NE Ste 202
Kirkland, WA 98033-4677

Phone

(425) 531-9648

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1780226498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 MAIN ST APT 619",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113564",
            "telephone_number": "425-531-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 124TH AVE NE STE 202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334677",
            "telephone_number": "425-531-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Westlake Ave N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981092782",
            "country_code": "US",
            "telephone_number": "425-652-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERSTON",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LMHCA, CDPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60923325",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MA60498912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF HEALTH",
            "identifier": "MC60498912",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kirkland",
            "affiliation": "N",
            "endpointDescription": "Zoom meetings",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Zoom face-to-face or Email",
            "address_1": "11417 124th Ave NE Ste 202",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980334677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seattle",
            "affiliation": "Y",
            "endpointDescription": "Zoom Meetings",
            "affiliationName": "Fourth Dimension Counseling Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email correspondence",
            "address_1": "1800 Westlake Ave N Ste 105",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981092782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dominique Washington, LMFTA
• Mira Waszak, OT
• Suzan Jeanne Watanabe, ARNP
• Kimberly Waterhouse, MS, RDN
• Cassidy Kay Waters
• Paige Clyde Watson, LMP
• Steven Watson, D.C.
• Charlotte A Watts, RDN
• Erin Annelore Waugh
• Wayne L Hill MD PS

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.