Active NPI
Mark Fadool, MS
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1851489348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00008677
- Practice address
- 2101 East Yesler Way
Suite 100
Seattle, WA 98122 - Phone
- (206) 987-7261
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00008677 | WA | Primary |
Addresses
Primary practice location
2101 East Yesler Way
Suite 100
Seattle, WA 98122
Mailing address
3211 S. Byron St.
Seattle, WA 98144
Phone (206) 372-6484
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00008677 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1851489348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 S. BYRON ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98144",
"telephone_number": "206-372-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 EAST YESLER WAY",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "206-987-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADOOL",
"first_name": "MARK",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00008677",
"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 Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.