Andrew Ide, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60201095 Issued in WA

Practice address

2804 Grand Ave
Suite 304
Everett, WA 98201-3430

Phone

(425) 802-3568

Fax

(425) 257-9154

NPI assigned

Apr 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1942654355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "SUITE 304",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "425-802-3568",
            "fax_number": "425-257-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "SUITE 304",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "425-802-3568",
            "fax_number": "425-257-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "ANDREW",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60201095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashiana Marie Ibberson, SUDPT, MSW, LSWAIC
• Joellen Marie Ibones
• Walaa Ibrahim, BDS
• Janelle M Ibsen, PA
• Tomomi J Ida, DDS
• Ideal Option, PLLC
• Randall W Ideker, P.A.
• Somaly Iem
• Robert K Iguchi, MD
• Helen Ihuwan

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.