Ms Kumiko Mizutani Boutz, LMHC in Tukwila, WA

Ms Kumiko Mizutani Boutz, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Tukwila, Washington. Her current practice location is 7100 Fort Dent Way Ste 220, Tukwila, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 708-7274.

Ms Kumiko Mizutani Boutz is licensed to practice in Washington (license number LH60865179) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407499536.

Contact Information

	Ms Kumiko Mizutani Boutz, LMHC
	7100 Fort Dent Way Ste 220, Tukwila, WA 98188-8553
	(206) 708-7274
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kumiko Mizutani Boutz
Gender	Female
Speciality	Counselor - Mental Health
Location	7100 Fort Dent Way Ste 220, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407499536
Provider Enumeration Date: 10/22/2019
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3577915198
Enrollment ID: I20240119001003

Medical Identifiers

Medical identifiers for Ms Kumiko Mizutani Boutz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407499536	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60865179 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kumiko Mizutani Boutz allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kumiko Mizutani Boutz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kumiko Mizutani Boutz, LMHC 11130 Se 208th St Apt F203, Kent, WA 98031-4196 Ph: (206) 478-0596	Ms Kumiko Mizutani Boutz, LMHC 7100 Fort Dent Way Ste 220, Tukwila, WA 98188-8553 Ph: (206) 708-7274

Reviews and Comments

Counselor in Tukwila, WA

Sonja Kelsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188 Phone: 206-444-7800
Brandon Leviton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-7800 Fax: 206-444-7810
Sierra Wollen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-3600 Fax: 206-444-3610
Allison Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3438 S 148th St, Tukwila, WA 98168 Phone: 206-948-0096
Alexandra Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-901-2000
Katherine Aileen Crow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13925 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096
Abigail Lindsay, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13955 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096

Ms Kumiko Mizutani Boutz, LMHC - Medicare Counselor in Tukwila, WA