Blue Topaz Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUE TOPAZ THERAPY

Practice address

9920 NE 119TH St Apt 109
Kirkland, WA 98034-4244

Phone

(425) 681-6885

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Breda Kailyn Waite, LMHCANPI 1134691298

Title

Owner/Ceo

Phone

(425) 681-6885

Specialties & licenses 1

Addresses

Practitioners 1

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

• Breda Kailyn Waite, MACP, LMHC-A

  • Mental Health Counselor
  • Burien, WA
  • NPI 1134691298
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1861253692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980830132",
            "telephone_number": "206-533-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 NE 119TH ST APT 109",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344244",
            "telephone_number": "425-681-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TOPAZ THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "BREDA",
        "authorized_official_middle_name": "KAILYN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "425-681-6885",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora G Blattner, ARNP
• Jacey Blesoch
• Jasmine Blesoch
• Jennifer L Bloomgarden, PSYD
• Blue Stone Chiropractic PS
• Ryan Jacoby Blue
• Lina Bluteau
• Julie Rose Bly, R.D.
• Yuri A Bobko, PA-C
• Georgiana Boboc, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.