NPIMap

Organization Active NPI

Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1811269624
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005434 Issued in WA
Legal business name
BLUESTONE PSYCHOLOGICAL SERVICES, LLC
Practice address
7522 221St PL SW
Edmonds, WA 98026-8029
Phone
(425) 775-4059
Fax
(425) 775-7210
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Julie Ann Hanson, PSYDNPI 1447343025
Title
Member/Manager
Phone
(425) 775-4059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00005434 WA Primary

Addresses

Primary practice location

7522 221St PL SW
Edmonds, WA 98026-8029

Mailing address

7522 221St PL SW
Edmonds, WA 98026-8029
Phone (425) 775-4059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821004511 WA Part B Supplier - Clinic/Group Practice 6305174806 Receives reassigned benefits from 8 practitioners
Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory

Locations

7614 195th St SW
Ste 101
Edmonds, WA 98026
Phone 4257754049714

144 Railroad Ave
Ste 222
Edmonds, WA 98020
Phone (425) 200-4065

7522 221st Pl SW
Edmonds, WA 98026
Phone (425) 521-6533

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1811269624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 221ST PL SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268029",
            "telephone_number": "425-775-4059",
            "fax_number": "425-775-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 221ST PL SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268029",
            "telephone_number": "425-775-4059",
            "fax_number": "425-775-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "425-775-4059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.