Individual provider Active NPI

Julia Kay Maxwell, LMHC, CHT

  • Mental Health Counselor
  • Lakewood, WA
National Provider Identifier
1861630295
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60273027 Issued in WA
Practice address
10209 Bridgeport Way SW
C-10
Lakewood, WA 98499-2320
Phone
(253) 640-3146
Fax
(253) 203-6986
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60273027 WA Primary

Addresses

Primary practice location

10209 Bridgeport Way SW
C-10
Lakewood, WA 98499-2320

Mailing address

10209 Bridgeport Way SW
C-10
Lakewood, WA 98499-2320
Phone (253) 640-3146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207004251 WA Practitioner - Mental Health Counselor 8527401439 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3022 159TH St CT E
Tacoma, WA 98446-1469
Phone (253) 640-3146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60273027WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Ray, DC, PLLC PastSince Jan 4, 2010 Accepting new patients

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1861630295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 BRIDGEPORT WAY SW",
            "address_2": "C-10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992320",
            "telephone_number": "253-640-3146",
            "fax_number": "253-203-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 BRIDGEPORT WAY SW",
            "address_2": "C-10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992320",
            "telephone_number": "253-640-3146",
            "fax_number": "253-203-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JULIA",
        "middle_name": "KAY",
        "credential": "LMHC, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60273027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.