Michelle Lanae Fulwiler, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60068722 Issued in WA

Practice address

29613 21St PL S
Federal Way, WA 98003-4250

Phone

(206) 931-4752

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Bradley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1861694697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29613 21ST PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034250",
            "telephone_number": "206-931-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29613 21ST PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034250",
            "telephone_number": "206-931-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Yesler Way",
            "address_2": "Sound Mental Health",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042628",
            "country_code": "US",
            "telephone_number": "206-450-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULWILER",
        "first_name": "MICHELLE",
        "middle_name": "LANAE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00054043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60068722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BRADLEY",
            "credential": "LH60068722",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.