Active NPI
Wendy J Averett, LMHC
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1972235570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00005724
- Practice address
- 8805 172ND Ave NE
Redmond, WA 98052-3212 - Phone
- (206) 384-2724
- NPI assigned
- Jun 30, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00005724 | WA | Primary |
Addresses
Primary practice location
8805 172ND Ave NE
Redmond, WA 98052-3212
Mailing address
8805 172ND Ave NE
Redmond, WA 98052-3212
Phone (206) 384-2724
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 |
|---|---|---|---|
| 00005724 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1972235570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 172ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523212",
"telephone_number": "206-384-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 172ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523212",
"telephone_number": "206-384-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERETT",
"first_name": "WENDY",
"middle_name": "J",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "00005724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.