CONSEJO COUNSELING AND REFERRAL SERVICE - LAKE CITY (NPI# 1073090858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073090858 |
| Entity Type | Organization |
| Organization Name | CONSEJO COUNSELING AND REFERRAL SERVICE - LAKE CITY |
| Practice Address |
2611 Ne 125th St Suite 145 Seattle WA 98125-4373 |
| Mailing Address |
3808 S Angeline St Seattle WA 98118-1712 |
| Practice Telephone | 2064614880 |
| Practice Fax Number | 2063673199 |
| Mailing Telephone | 2064614880 |
| Mailing Fax Number | 2064616989 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MARIO PAREDES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2064614880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DBHR SITE LICENSE ID | 200187 | 01 |
| Street Address |
2611 NE 125TH ST SUITE 145 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719698 | Kathryn Mabel Hahn | Physical Therapist | 2611 Ne 125th St, Tai Northlake Physical Therapy Ste 140, Seattle, WA 98125-4357 | 2005-11-30 |
| 1518511369 | Anusha Reddy Etikala | Dentist | 2611 Ne 125th St, Seattle, WA 98125-4373 | 2019-07-30 |
| 1881141216 | Ally Lund | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-09-01 |
| 1144684051 | Lily Jei-ho Chang | Non-Pharmacy Dispensing Site | 2611 Ne 125th St, Suite 115, Seattle, WA 98125-4373 | 2016-04-06 |
| 1134585458 | Becky Brooker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-01-04 |
| 1780058099 | Vlinder Communication Therapies, Pllc | Speech-Language Pathologist | 2611 Ne 125th St, Suite 103, Seattle, WA 98125-4373 | 2015-11-24 |
| 1669848669 | Karin Kittay | Massage Therapist | 2611 Ne 125th St, Suite 240, Seattle, WA 98125-4373 | 2015-08-13 |
| 1013326339 | Devin Langaker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2014-08-12 |
| 1114352259 | Sarah Marie Walker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2013-09-09 |
| 1124370242 | Tonia 'heather' Carlson | Counselor | 2611 Ne 125th St, Suite 203, Seattle, WA 98125-4373 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.