Individual provider Active NPI

Charlotte Malkmus, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1831472471
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60225428 Issued in WA
Practice address
1601 16TH Ave
Seattle, WA 98122-4011
Phone
(206) 461-3240
Fax
(206) 461-3696
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60225428 WA Primary
Mental Health Counselor 101YM0800X 004229-1 NY

Addresses

Primary practice location

1601 16TH Ave
Seattle, WA 98122-4011

Mailing address

1601 16TH Ave
Seattle, WA 98122-4011
Phone (206) 461-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 25, 2024 through Apr 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60225428WAMDMental Health Counselor
004229-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service PastSince May 1, 2011 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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1831472471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 16TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224011",
            "telephone_number": "206-461-3240",
            "fax_number": "206-461-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 16TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224011",
            "telephone_number": "206-461-3240",
            "fax_number": "206-461-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKMUS",
        "first_name": "CHARLOTTE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60225428",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004229-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.