Lorraine Ann Chace, LMHC, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60457018 Issued in WA

Practice address

4423 So 3Rd Av
Everett, WA 98203

Phone

(206) 910-9630

NPI assigned

Feb 2, 2012

Last updated

May 6, 2021By the provider in NPPES

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

• Rainey Chace 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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1871865089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 LAKEWOOD RD #152",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239690",
            "telephone_number": "206-910-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 SO 3RD AV",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "206-910-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACE",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60235057",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60457018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINEY",
            "last_name": "CHACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Everett, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.