Individual provider Active NPI

Arie Poot, M.DIV., M.A.

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1780695445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005703 Issued in WA
Practice address
117 N 1St St
Suite 55
Mount Vernon, WA 98273-2859
Phone
(360) 421-2436
Fax
(360) 336-2521
NPI assigned
Aug 10, 2006
Sex
Male
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 LH00005703 WA Primary

Addresses

Primary practice location

117 N 1St St
Suite 55
Mount Vernon, WA 98273-2859

Mailing address

17091 Sockeye Dr
Mount Vernon, WA 98274-9156
Phone (360) 421-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH00005703WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780695445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17091 SOCKEYE DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749156",
            "telephone_number": "360-421-2436",
            "fax_number": "360-336-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "address_2": "SUITE 55",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859",
            "telephone_number": "360-421-2436",
            "fax_number": "360-336-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOT",
        "first_name": "ARIE",
        "name_prefix": "Mr.",
        "credential": "M.DIV., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.