Joshua Cal Evergreen, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61332519 Issued in WA

Practice address

26401 NE Richardson St # 201
Duvall, WA 98019-5030

Phone

(425) 224-6123

NPI assigned

Sep 2, 2022

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joshua Michael King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1942921416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12991 166TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982908254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 NE RICHARDSON ST # 201",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980195030",
            "telephone_number": "425-224-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERGREEN",
        "first_name": "JOSHUA",
        "middle_name": "CAL",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61332519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "KING",
            "middle_name": "MICHAEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Duvall, WA
• Providers in Duvall, 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 Sep 2, 2022; 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.