Individual provider Active NPI

Koichi Tanji

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1851900427
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61441809 Issued in WA
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

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LH61441809WAMDMental Health Counselor
NT61219790WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Fight for W, LLC Mental Health CurrentSince Nov 19, 2023 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.

Verify at the official NPI Registry.