Active NPI
Fred Landers, PHD, LMHC, LCAT
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1861648537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60482845
- Practice address
- 305 Harrison St FL 4
Seattle, WA 98109-4623 - Phone
- (206) 643-0970
- NPI assigned
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 000946-01 | NY | |
| Mental Health Counselor | 101YM0800X | LH60482845 | WA | Primary |
Addresses
Primary practice location
305 Harrison St FL 4
Seattle, WA 98109-4623
Mailing address
1420 Boren Ave Apt 309
Seattle, WA 98101-1904
Phone (206) 643-0970
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000946-01 | NY | MD | Drama Therapist |
| LH60482845 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1861648537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 BOREN AVE APT 309",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011904",
"telephone_number": "206-643-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HARRISON ST FL 4",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094623",
"telephone_number": "206-643-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "FRED",
"name_prefix": "Mr.",
"credential": "PHD, LMHC, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "000946-01",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60482845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.