Active NPI
Elizabeth Smith Conwell, LMHC, MHP
- Mental Health Counselor
- Issaquah, WA
National Provider Identifier
1811323629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60740893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60740893 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
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.