Active NPI
Koichi Tanji
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1851900427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61441809
- Practice address
- 11226 NE 15TH St Ste 6
Bellevue, WA 98004-3719 - Phone
- (206) 201-4087
- Fax
- (833) 914-2737
- NPI assigned
- Jul 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT61219790 | WA | |
| Mental Health Counselor | 101YM0800X | LH61441809 | WA | Primary |
Addresses
Primary practice location
11226 NE 15TH St Ste 6
Bellevue, WA 98004-3719
Mailing address
11226 NE 15TH St Ste 6
Bellevue, WA 98004-3719
Phone (206) 201-4087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61441809 | WA | MD | Mental Health Counselor |
| NT61219790 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fight for W, LLC | Mental Health | Current | Accepting new patients |
Locations
11226 NE 15th St
Ste 6
Bellevue, WA 98004
Phone (206) 201-4087
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1851900427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11226 NE 15TH ST STE 6",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043719",
"telephone_number": "206-201-4087",
"fax_number": "833-914-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11226 NE 15TH ST STE 6",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043719",
"telephone_number": "206-201-4087",
"fax_number": "833-914-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANJI",
"first_name": "KOICHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT61219790",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61441809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.