Active NPI
Timothy Sipes
- Counselor
- Seattle, WA
National Provider Identifier
1831636356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60493165
- Practice address
- 2119 2ND Ave
Seattle, WA 98121-2207 - Phone
- (206) 461-6923
- NPI assigned
- Jan 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60493165 | WA | Primary |
Addresses
Primary practice location
2119 2ND Ave
Seattle, WA 98121-2207
Mailing address
2119 2ND Ave
Seattle, WA 98121-2207
Phone (206) 461-6923
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 |
|---|---|---|---|
| CG60493165 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Past | Accepting new patients | |
| Community Psychiatric Clinic Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1629120159
-
- Mental Illness Community Based Residential Treatment Facility
- Seattle, WA
- NPI 1922640457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485043200000",
"number": "1831636356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212207",
"telephone_number": "206-461-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 2ND AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212207",
"telephone_number": "206-461-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPES",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-22",
"last_updated": "2017-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60493165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.