Individual provider Active NPI

Melvin Elsy Labelle III, M.A.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1932503067
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60501058 Issued in WA
Practice address
2103 S Atlantic St
Seattle, WA 98144-3615
Phone
(206) 454-3947
Fax
(206) 726-8564
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 MC60501058 WA Primary

Addresses

Primary practice location

2103 S Atlantic St
Seattle, WA 98144-3615

Mailing address

4310 NE 5TH St Apt B101
Renton, WA 98059-4725
Phone (206) 454-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60501058WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Street Center Past Accepting new patients
Bene Therapy PLLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1932503067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 NE 5TH ST APT B101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594725",
            "telephone_number": "206-454-3947",
            "fax_number": "206-726-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S ATLANTIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443615",
            "telephone_number": "206-454-3947",
            "fax_number": "206-726-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "MELVIN",
        "middle_name": "ELSY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60501058",
            "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 Oct 17, 2014; 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.