Individual provider Active NPI

Maalfrid Marie Hoddevik, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1801935804
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00047945 Issued in WA
Practice address
12360 Lake City Way NE Ste 420
Seattle, WA 98125-5452
Phone
(206) 715-6991
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60159588 WA
Mental Health Counselor 101YM0800X RC00047945 WA Primary

Addresses

Primary practice location

12360 Lake City Way NE Ste 420
Seattle, WA 98125-5452

Mailing address

4629-Ne195Th
Lake Forest Park, WA 98155
Phone (206) 715-6991

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
LH60159588WAMDMental Health Counselor
RC00047945WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801935804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629-NE195TH",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "98155",
            "telephone_number": "206-715-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE STE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255452",
            "telephone_number": "206-715-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODDEVIK",
        "first_name": "MAALFRID",
        "middle_name": "MARIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60159588",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00047945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.