INDIGO MENTAL HEALTH PLLC (NPI# 1578963732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578963732 |
| Entity Type | Organization |
| Organization Name | INDIGO MENTAL HEALTH PLLC |
| Other Organization Name | INDIGO MENTAL HEALTH |
| Practice Address |
901 Boren Ave Suite 1300 Seattle WA 98104-3595 |
| Practice Telephone | 2068013555 |
| Mailing Telephone | 2068013555 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | MR. ISMAEL E GERENA JR. (MEMBER) |
| Authorized Official Telephone | 4255912963 |
| Authorized Official Credential | MA., LMHCA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
603393215 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Indigo Mental Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INDIGO MENTAL HEALTH PLLC | 901 Boren Ave, Suite 1015, Seattle, WA 98104-3506 |
| Street Address |
901 BOREN AVE SUITE 1300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288016 | Wallace R Hodges | Internal Medicine | 901 Boren Ave, Ste 615, Seattle, WA 98104-3595 | 2005-10-11 |
| 1871082164 | The Moore Center PC | Clinic/Center | 901 Boren Ave, Suite #1800, Seattle, WA 98104 | 2018-05-02 |
| 1295276251 | Mjr Counseling and Consultation, P.l.l.c. | Counselor | 901 Boren Ave, Suite 1300, Seattle, WA 98104-3595 | 2017-03-10 |
| 1689111346 | Lonnie Renteria | Counselor | 901 Boren Ave, Ste 1300, Seattle, WA 98104-3595 | 2017-01-19 |
| 1730621483 | Arbor Hills Wellness | Clinic/Center | 901 Boren Ave, Suite 1300, Seattle, WA 98104-3595 | 2016-11-12 |
| 1760934939 | Melanie Chitwood | Counselor | 901 Boren Ave, Suite 1300, Seattle, WA 98104-3595 | 2016-11-03 |
| 1699225888 | Claritas Counseling and Evaluations, Plc | Community/Behavioral Health | 901 Boren Ave, Ste 1800, Seattle, WA 98104-3595 | 2016-10-11 |
| 1619422102 | Aletheia Therapeutics, LLC | Counselor | 901 Boren Ave, Suite 701, Seattle, WA 98104-3595 | 2016-08-24 |
| 1477906907 | Smile Art By Jaime Lee Dds | Dentist | 901 Boren Ave, Ste 1030, Seattle, WA 98104-3595 | 2016-07-20 |
| 1720447345 | Christina Palumbo | Physical Therapist | 901 Boren Ave, Ste. 410, Seattle, WA 98104-3595 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1396360426 | Maitri Counseling Service | Clinic/Center | 3123 Eastlake Ave E Ste 108, Seattle, WA 98102-3801 | 2020-06-15 |
| 1881216042 | Ian Scheiner Counseling Pllc | Clinic/Center | 600 1st Ave Ste 438, Seattle, WA 98104-2237 | 2020-05-11 |
| 1922628288 | Nicole Hollinsworth | Clinic/Center | 7707 Greenwood Ave N Apt 302, Seattle, WA 98103-4655 | 2020-04-16 |
| 1538795844 | Sea - Mar Community Health Center | Clinic/Center | 9635 Des Moines Memorial Dr Ste 210, Seattle, WA 98108-5061 | 2020-03-18 |
| 1811467574 | Mulick Psychological Services, Pllc | Clinic/Center | 120 14th Ave Apt 5, Seattle, WA 98122-5559 | 2018-11-26 |
| 1750863668 | Seattle Institute for Family Therapy | Clinic/Center | 600 N 36th St Ste 415, Seattle, WA 98103-8699 | 2018-09-06 |
| 1831600782 | Creating Space Counseling | Clinic/Center | 1421 34th Ave Ste 204, Seattle, WA 98122-3333 | 2017-10-18 |
| 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.