NPIMap

Organization Active NPI

Avanti

  • Mental Health Counselor
  • Sammamish, WA
National Provider Identifier
1932618014
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60784941 Issued in WA
Legal business name
AVANTI
Practice address
2830 228TH Ave SE
Sammamish, WA 98075-9300
Phone
(425) 614-5649
NPI assigned
Sep 21, 2017
Last updated
Sep 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Cheryl D'EttorreNPI 1942768759
Title
Owner
Phone
(425) 614-5649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60784941 WA Primary

Addresses

Primary practice location

2830 228TH Ave SE
Sammamish, WA 98075-9300

Mailing address

2830 228TH Ave SE
Sammamish, WA 98075-9300

National Provider Directory

National Provider Directory

Locations

2830 228th Ave SE
Sammamish, WA 98075
Phone (425) 614-5649

2830 228th Ave SE
Ste D
Sammamish, WA 98075
Phone (425) 295-5307

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1932618014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 228TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 228TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759300",
            "telephone_number": "425-614-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "D'ETTORRE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-614-5649"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60784941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.