Individual provider Active NPI

Caitlin Hope Woolbert, LMHCA

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1902414212
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61076549 Issued in WA
Practice address
2002 156TH Ave NE
Bellevue, WA 98007-3827
Phone
(800) 682-6934
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61076549 WA Primary

Addresses

Primary practice location

2002 156TH Ave NE
Bellevue, WA 98007-3827

Mailing address

382 Hampton CT
Camano Island, WA 98282-7500
Phone (360) 720-3342

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

State licenses

LicenseStateTypeSpecialty
MC61076549WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1902414212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 HAMPTON CT",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982827500",
            "telephone_number": "360-720-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073827",
            "telephone_number": "800-682-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBERT",
        "first_name": "CAITLIN",
        "middle_name": "HOPE",
        "name_prefix": "Miss",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61076549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.