Individual provider Active NPI

Joseph M Weatherby, M.A., LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1922419571
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60882062
Practice address
3250 Airport Way S Ste 420
Seattle, WA 98134-2167
Phone
(206) 348-5460
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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 LH60882062 Primary

Addresses

Primary practice location

3250 Airport Way S Ste 420
Seattle, WA 98134-2167

Mailing address

10717 55TH Ave S
Seattle, WA 98178-2211
Phone (206) 348-5460

Other identifiers 1

IdentifierTypeStateIssuer
602327694OtherWAWA STATE BUSINESS LICENSE UBI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807003444 WA Practitioner - Mental Health Counselor 0749406783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Weatherby Therapy, LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

3250 Airport Way S
Ste 420
Seattle, WA 98134
Phone (206) 348-5460

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1922419571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 55TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782211",
            "telephone_number": "206-348-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 AIRPORT WAY S STE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342167",
            "telephone_number": "206-348-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERBY",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LH60882062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE BUSINESS LICENSE UBI NUMBER",
            "identifier": "602327694",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.