Wayne Richard Dykstra, PHD, M.A., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60165739 Issued in WA

Practice address

6533 B 35TH Ave. NE
Seattle, WA 98115-2032

Phone

(206) 399-5776

NPI assigned

Oct 28, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1982904645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 B 35TH AVE. NORTH EAST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152032",
            "telephone_number": "206-399-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 B 35TH AVE. NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152032",
            "telephone_number": "206-399-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "WAYNE",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PHD, M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60165739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikailah Ariel Dykow
• Donna Dykstra
• Gloria Dykstra, L.M.H.C.
• Karen Dykstra, LMT
• Spencer Dykstra
• Andrew M. Dym, M.D.
• Madeline Ann Dyment, NP
• Dymond Healthcare
• Cassy Dymond, N.D.
• Chelsea Areck Dymond, MD

• 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 Jun 22, 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.

Verify at the official NPI Registry.