Organization Active NPI

Lminal LLC

  • Mental Health Counselor
  • Redmond, WA
National Provider Identifier
1902505563
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LMINAL LLC
Practice address
7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846
Phone
(833) 733-0073
Fax
(888) 655-4275
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Mr. Scott Dylan Campbell, LMFTNPI 1811104367
Title
Executor
Phone
(206) 755-1054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846

Mailing address

7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846
Phone (833) 733-0073

National Provider Directory

National Provider Directory

Locations

7345 164th Ave NE
Ste I1451410
Redmond, WA 98052
Phone (833) 733-0073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1902505563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE",
            "address_2": "STE I145-1410",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846",
            "telephone_number": "833-733-0073",
            "fax_number": "888-655-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE",
            "address_2": "STE I145-1410",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846",
            "telephone_number": "833-733-0073",
            "fax_number": "888-655-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "206-755-1054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.