Nichole Bedore, LCPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60801971 Issued in WA

Practice address

4730 University Way NE Ste 1042019
Seattle, WA 98105-4424

Phone

(773) 516-1789

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• N/a N/a Professional 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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1952839862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 148TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756523",
            "telephone_number": "773-516-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 UNIVERSITY WAY NE STE 1042019",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054424",
            "telephone_number": "773-516-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 N Sheridan Rd Apt 10O",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606604799",
            "country_code": "US",
            "telephone_number": "773-516-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105B W Main Ste 103",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983715329",
            "country_code": "US",
            "telephone_number": "773-516-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4739 University Way NE # 2019",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054412",
            "country_code": "US",
            "telephone_number": "773-516-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDORE",
        "first_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010852",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010852",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60801971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Elizabeth Bedford, ND
• Krishma Bedi
• Brenda Bednar, L.N.M.
• Joana Bednar
• Kaitlin Noel Bednarek, MSW
• Angelica T Bedrosian, LICSW
• Eric Richard Bedson, PA-C
• Kiley R Bedson, MS, LMHC
• Sarah Bedtelyon, ARNP
• Joseph Patrick Bedwell

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Oct 30, 2018; 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.