Organization Active NPI

Northstar Wellness Associates

  • Mental Health Counselor
  • Tukwila, WA
National Provider Identifier
1851166441
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Dr. Cheryl Lynn Fracasso, PHD, LMHCNPI 1821573528
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.