Ivy Mental Health, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IVY MENTAL HEALTH, PLLC

Practice address

16336 124TH PL NE
Woodinville, WA 98072-7995

Phone

(425) 298-3238

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Ivyanne Jellibean Van Der Peet, LMHCNPI 1699250373

Title

Licensed Mental Health Therapist

Phone

(425) 298-3238

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivyanne Van Der Peet, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1699250373
  NPD Authorized official
• Nadia Cervantes, LSW

  • Social Worker
  • Woodinville, WA
  • NPI 1194559203
  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1851165252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728564",
            "telephone_number": "425-298-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16336 124TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727995",
            "telephone_number": "425-298-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "VAN DER PEET",
        "authorized_official_first_name": "IVYANNE",
        "authorized_official_middle_name": "JELLIBEAN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "425-298-3238",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Health Institute
• Samson Manoah Irish-Lodge, LMFTA
• Ruth Esther James
• Jerald D. Bates, D.D.S., PLLC
• Gregory R Jespersen, DPM
• Steven Paul Jewitt, M.D.
• Evghenii Valentin Jignea

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.