Individual provider Active NPI

Ying Chiao Chen

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1922543800
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61551224 Issued in WA
Practice address
3123 NE Sunset Blvd
Renton, WA 98056-3338
Phone
(650) 402-0204
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61551224 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3123 NE Sunset Blvd
Renton, WA 98056-3338

Mailing address

3123 NE Sunset Blvd
Renton, WA 98056-3338
Phone (650) 402-0204

Other names 1

  • Livia Chen Other name

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
I20260324003694 WA Practitioner - Mental Health Counselor 7810471158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3123 NE Sunset Blvd
Renton, WA 98056-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61551224WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddie Adventures PLLC Mental Health CurrentSince Oct 6, 2024 Accepting new patients

Locations

3123 NE Sunset Blvd
Renton, WA 98056
Phone (650) 402-0204

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1922543800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563338",
            "telephone_number": "650-402-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563338",
            "telephone_number": "650-402-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YING CHIAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61551224",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIVIA",
            "last_name": "CHEN",
            "credential": "AS KNOW AS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.