Active NPI
Lindsay Huettman
- Counseling Psychologist
- Monroe, WA
National Provider Identifier
1962942409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- MC 60701783
- Practice address
- 28128 Florence Acres Rd
Monroe, WA 98272-9574 - Phone
- (360) 333-7189
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | MC 60701783 | WA | Primary |
Addresses
Primary practice location
28128 Florence Acres Rd
Monroe, WA 98272-9574
Mailing address
28128 Florence Acres Rd
Monroe, WA 98272-9574
Phone (360) 333-7189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 60701783 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1962942409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28128 FLORENCE ACRES RD",
"city": "MONROE",
"state": "WA",
"postal_code": "982729574",
"telephone_number": "360-333-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28128 FLORENCE ACRES RD",
"city": "MONROE",
"state": "WA",
"postal_code": "982729574",
"telephone_number": "360-333-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUETTMAN",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "MC 60701783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.