Patrick Joseph Rettig, LPC, LMHCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC61023038 Issued in WA

Practice address

10827 NE 68TH St Ste C
Kirkland, WA 98033-4000

Phone

(614) 804-7341

NPI assigned

Sep 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1902388986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 NE 1ST ST APT 664",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044062",
            "telephone_number": "614-804-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10827 NE 68TH ST STE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334000",
            "telephone_number": "614-804-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 N High St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430852330",
            "country_code": "US",
            "telephone_number": "614-804-7341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "LPC, LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1700825",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61023038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia C Reppar, PA-C
• Residence XII
• Resolution Bioscience
• Shellie Respess
• Virginia Retka, MSPA
• Steven Kurt Reusser, ARNP, DNP
• Revive Low T, LLC
• Revive Low T, LLC
• Raquel Maria Reyes, CERTIFIED MEDICAL IN
• Elyse Marie Reynolds

• Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.