Andrew Syvertsen, M.A., LMHC, BCBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60495187 Issued in WA

Practice address

2366 Eastlake Ave E Ste 306
Seattle, WA 98102-3399

Phone

(206) 612-1008

NPI assigned

Jan 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1811291982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023399",
            "telephone_number": "206-612-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023399",
            "telephone_number": "206-612-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVERTSEN",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.A., LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-07-3686",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60495187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sympson, ARNP
• Liam Thomas Synan, MD
• Bailey Synhavong
• Karen L Syrjala
• Alexander L Sytman, M.D.
• Carrie Syvertsen
• Kristin Szabadi, PT
• Alexandra Helen-Rita Szablya, LMHCA
• Edith P Szabo, AUD
• Elizabeth Szabo

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Mar 24, 2015; 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.