Active NPI
Clarissa Hill, M.A., LMHCA
- Counselor
- Edmonds, WA
National Provider Identifier
1942586110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 23107 100TH Ave W Ste 5
Edmonds, WA 98020-5062 - Phone
- (425) 774-8049
- Fax
- (425) 953-4340
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
23107 100TH Ave W Ste 5
Edmonds, WA 98020-5062
Mailing address
23107 100TH Ave W Ste 5
Edmonds, WA 98020-5062
Phone (425) 774-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 10, 2024 through Sep 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanctuary Psychological Services | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Edmonds, WA
- NPI 1780902213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1942586110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23107 100TH AVE W STE 5",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205062",
"telephone_number": "425-774-8049",
"fax_number": "425-953-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23107 100TH AVE W STE 5",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205062",
"telephone_number": "425-774-8049",
"fax_number": "425-953-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "CLARISSA",
"credential": "M.A., LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.