Active NPI
Northstar Wellness Associates
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1851166441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NORTHSTAR WELLNESS ASSOCIATES
- Practice address
- 555 Andover Park W Ste 200
Tukwila, WA 98188-3379 - Phone
- (253) 533-7527
- Fax
- (253) 330-8868
- NPI assigned
- Nov 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cheryl Lynn Fracasso, PHD, LMHC
- Title
- Owner, Administrative Director
- Phone
- (253) 533-7527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
555 Andover Park W Ste 200
Tukwila, WA 98188-3379
Mailing address
25722 135TH Ave SE
Kent, WA 98042-3506
Phone (253) 533-7527
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Tukwila, WA
- NPI 1821573528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700784000000",
"number": "1851166441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25722 135TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980423506",
"telephone_number": "253-533-7527",
"fax_number": "253-330-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 ANDOVER PARK W STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981883379",
"telephone_number": "253-533-7527",
"fax_number": "253-330-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR WELLNESS ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-24",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A",
"authorized_official_last_name": "FRACASSO",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER, ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "253-533-7527",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
- Nordstrom Inc & Subsidiaries
- Jamie K Noritake, B.A.
- Mary K Norman, LMHC
- Sarah Norris
- North Star Treatment Group, LLC
- Northwest Behavioral Health
- Northwest Community Laboratories a Division of Multicare Health System
- Northwest Critical Care Physicians, P.S.
- Northwest Medical Transport LLC
- Peter Nthiwa, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.