Individual provider Active NPI

Elliot A Leliaert, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1902359466
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60677334 Issued in WA
Practice address
2319 N 45TH St Ste 202
Seattle, WA 98103-6978
Phone
(253) 237-2054
NPI assigned
Aug 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MC60677334 WA Primary

Addresses

Primary practice location

2319 N 45TH St Ste 202
Seattle, WA 98103-6978

Mailing address

2319 N 45TH St Ste 202
Seattle, WA 98103-6978
Phone (253) 237-2054

Other practice location 1

1818 Westlake Ave N Ste 310
Seattle, WA 98109-2707
Phone (253) 237-2054

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60677334WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1902359466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036978",
            "telephone_number": "253-237-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036978",
            "telephone_number": "253-237-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Westlake Ave N Ste 310",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981092707",
            "country_code": "US",
            "telephone_number": "253-237-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LELIAERT",
        "first_name": "ELLIOT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60677334",
            "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 Jan 12, 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.