Individual provider Active NPI

Amanda Marie Besel, LMHC, CDP

  • Mental Health Counselor
  • Tukwila, WA
National Provider Identifier
1861544264
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60344734 Issued in WA
Practice address
6100 Southcenter Blvd
Suite 200
Tukwila, WA 98188-2441
Phone
(206) 444-7906
Fax
(206) 444-7890
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00004043 WA
Mental Health Counselor 101YM0800X LH60344734 WA Primary

Addresses

Primary practice location

6100 Southcenter Blvd
Suite 200
Tukwila, WA 98188-2441

Mailing address

401 5TH Ave
Seattle, WA 98104
Phone (206) 304-8974

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
CP00004043WAMDAddiction (Substance Use Disorder) Counselor
LH60344734WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1861544264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-304-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SOUTHCENTER BLVD",
            "address_2": "SUITE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882441",
            "telephone_number": "206-444-7906",
            "fax_number": "206-444-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEL",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60344734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.