Active NPI
Halcyon Counseling LLC
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1922555424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60446978
- Legal business name
- HALCYON COUNSELING LLC
- Practice address
- 2101 4TH Ave E Ste 200
Olympia, WA 98506-6512 - Phone
- (503) 887-4137
- Fax
- (360) 956-0379
- NPI assigned
- Sep 1, 2016
- 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
- Mr. Michael I Bergman, MHP
- Title
- Sole Member
- Phone
- (503) 887-4137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60446978 | WA | Primary |
Addresses
Primary practice location
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Mailing address
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Phone (503) 887-4137
National Provider Directory
National Provider DirectoryLocations
2101 4th Ave E
Ste 200
Olympia, WA 98506
Phone (360) 786-9499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1922555424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "503-887-4137",
"fax_number": "360-956-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "503-887-4137",
"fax_number": "360-956-0379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALCYON COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "BERGMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "503-887-4137",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60446978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.