Northwest Psychological Consulting, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60676411 Issued in WA

Legal business name

NORTHWEST PSYCHOLOGICAL CONSULTING, LLC

Practice address

2722 Colby Ave Ste 720
Everett, WA 98201-3535

Phone

(206) 650-5910

Fax

(425) 322-3939

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Chester Lee Hill, MA, LMHC

Title

Owner

Phone

(206) 650-5910

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1992254908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 123RD AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982908100",
            "telephone_number": "206-650-5910",
            "fax_number": "425-322-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE STE 720",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013535",
            "telephone_number": "206-650-5910",
            "fax_number": "425-322-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHOLOGICAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-650-5910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60676411",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LH60676411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.