Individual provider Active NPI

Markie Joan Mitchell

  • Counselor
  • Seattle, WA
National Provider Identifier
1801306303
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
60990623 Issued in WA
Practice address
5802 Rainier Ave S
Seattle, WA 98118-2706
Phone
(206) 723-1980
NPI assigned
Oct 10, 2017
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60990623 WA Primary

Addresses

Primary practice location

5802 Rainier Ave S
Seattle, WA 98118-2706

Mailing address

3395 Plymouth Rd
Minnetonka, MN 55305-3765

Other identifiers 1

IdentifierTypeStateIssuer
2140625MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510000552 WA Practitioner - Clinical Social Worker 4385000728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Health ServicesGroup PAC ID 4284891052, 10 clinicians

Practice addresses (Care Compare)

24823 Pacific Hwy S
Suite 103
Kent, WA 98032-5478
Phone (253) 681-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60990623WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Norma Therapy Group, PLLC Counselor CurrentSince Feb 8, 2023 Accepting new patients
Therapeutic Health Services CurrentSince Apr 18, 2023 Accepting new patients
Therapeutic Health Services CurrentSince Apr 18, 2023 Accepting new patients
Therapeutic Health Services Past Accepting new patients

Locations

1412 140th Pl NE
Bellevue, WA 98007
Phone (425) 747-7892

24823 Pacific Hwy S
Ste 103
Kent, WA 98032
Phone (253) 681-0010

1116 Summit Ave
Seattle, WA 98101
Phone (206) 323-0930

5802 Rainier Ave S
Seattle, WA 98118
Phone (206) 723-1980

16715 Aurora Ave N
#102
Shoreline, WA 98133
Phone (206) 323-0930

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1801306303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 PLYMOUTH RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182706",
            "telephone_number": "206-723-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARKIE",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60990623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140625",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.