Individual provider Active NPI

Elizabeth Smith Conwell, LMHC, MHP

  • Mental Health Counselor
  • Issaquah, WA
National Provider Identifier
1811323629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60740893 Issued in WA
Practice address
545 Rainier Blvd N Ste 8
Issaquah, WA 98027-2806
Phone
(425) 523-6637
NPI assigned
Sep 25, 2013
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
Student in an Organized Health Care Education/Training Program 390200000X WA
Mental Health Counselor 101YM0800X LH60740893 WA Primary

Addresses

Primary practice location

545 Rainier Blvd N Ste 8
Issaquah, WA 98027-2806

Mailing address

545 Rainier Blvd N Ste 8
Issaquah, WA 98027-2806
Phone (425) 523-6637

Other practice location 1

6100 Southcenter Blvd
AS Southcenter
Tukwila, WA 98188-2442
Phone (206) 444-7800

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

State licenses

LicenseStateTypeSpecialty
LH60740893WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound PastSince Oct 14, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811323629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 RAINIER BLVD N STE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272806",
            "telephone_number": "425-523-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 RAINIER BLVD N STE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272806",
            "telephone_number": "425-523-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Southcenter Blvd",
            "address_2": "AS Southcenter",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882442",
            "country_code": "US",
            "telephone_number": "206-444-7800",
            "fax_number": "206-444-7810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "ELIZABETH",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LMHC, MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60740893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, 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.