Active NPI
Lavender Mental Health PLLC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1912817792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LAVENDER MENTAL HEALTH PLLC
- Practice address
- 3665 Stone Way N Apt 435
Seattle, WA 98103-5686 - Phone
- (443) 457-3326
- NPI assigned
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackenzie Ann Fedota, LCPC
- Title
- LCPC
- Phone
- (443) 457-3326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3665 Stone Way N Apt 435
Seattle, WA 98103-5686
Mailing address
3665 Stone Way N Apt 435
Seattle, WA 98103-5686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1912817792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 STONE WAY N APT 435",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981035686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 STONE WAY N APT 435",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981035686",
"telephone_number": "443-457-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "FEDOTA",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "LCPC",
"authorized_official_telephone_number": "443-457-3326",
"authorized_official_credential": "LCPC"
},
"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 Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.