Active NPI
Lily Wolff-Knuffke, LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1831105402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61432899
- Practice address
- 1811 156TH Ave NE
Bellevue, WA 98007-4344 - Phone
- (425) 460-7125
- Fax
- (425) 460-7148
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61432899 | WA | Primary |
| Professional Counselor | 101YP2500X | 18175 | TX | |
| Professional Counselor | 101YP2500X | 6505 | CO |
Addresses
Primary practice location
1811 156TH Ave NE
Bellevue, WA 98007-4344
Mailing address
4851 Independence Street
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1562217-02 | Medicaid | TX | |
| 156221703 | Medicaid | TX | |
| 83800L | Other | TX | ALPHA OMEGA BCBS |
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 |
|---|---|---|---|
| LH61432899 | WA | MD | Mental Health Counselor |
| 6505 | CO | MD | Physical Therapist |
| 18175 | TX | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1831105402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE STREET",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300",
"fax_number": "303-432-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 156TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074344",
"telephone_number": "425-460-7125",
"fax_number": "425-460-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF-KNUFFKE",
"first_name": "LILY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61432899",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18175",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6505",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1562217-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156221703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALPHA OMEGA BCBS",
"identifier": "83800L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.