Organization Active NPI

Northwest Family Life Learning and Counseling Center

Doing business as Northwest Family Life

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1851431282
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
601196797 Issued in WA
Legal business name
NORTHWEST FAMILY LIFE LEARNING AND COUNSELING CENTER
Doing business as
Northwest Family Life
Practice address
12360 Lake City Way NE
Suite 420
Seattle, WA 98125
Phone
(206) 363-9601
Fax
(206) 363-9639
NPI assigned
Feb 7, 2007
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Han-Mae Ella Chang, LMHC
Title
Clinical Director
Phone
(206) 363-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 601196797 WA Primary

Addresses

Primary practice location

12360 Lake City Way NE
Suite 420
Seattle, WA 98125

Mailing address

12360 Lake City Way NE
Suite 420
Seattle, WA 98125
Phone (206) 363-9601

Other identifiers 1

IdentifierTypeStateIssuer
307827OtherWAVALUEOPTIONS PROVIDER #

Other names 1

  • Northwest Family Life Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Family Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12360 Lake City Way NE
Ste 420
Seattle, WA 98125
Phone (206) 363-9601

16000 Christensen Rd
Ste 1
Tukwila, WA 98188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1851431282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE",
            "address_2": "SUITE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-363-9601",
            "fax_number": "206-363-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE",
            "address_2": "SUITE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-363-9601",
            "fax_number": "206-363-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY LIFE LEARNING AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "HAN-MAE",
        "authorized_official_middle_name": "ELLA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "206-363-9601",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "601196797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER #",
            "identifier": "307827",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Family Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Family Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2018; 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.