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12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 | |
| (425) 403-5765 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 12220 113th Ave Ne Ste 210, Kirkland, Washington |
| Authorized Official Name and Position | Carmen Benway (COUNSELOR) |
| Authorized Official Contact | 4254035765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 Ph: (425) 403-5765 | 12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 Ph: (425) 403-5765 |
| NPI Number | 1437898772 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 4082156518 |
|---|---|
| Medicare Enrollment ID | O20240611004235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437898772 | NPI | - | NPPES |
| 2238102 | Medicaid | WA |
| Provider Name | Carmen Noel Benway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457864068 PECOS PAC ID: 4789056110 Enrollment ID: I20240612000476 |
| Provider Name | Kathleen M Howell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518920800 PECOS PAC ID: 2365984846 Enrollment ID: I20240612001574 |
Ioana Diaconu, Md, Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033 Phone: 425-889-5045 | |
Timothy A Rogge, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000 | |
Ryan Q Patterson Ma Lmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11415 Ne 128th St, Suite 30, Kirkland, WA 98034 Phone: 425-205-9332 Fax: 888-232-6779 | |
Lake Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033 Phone: 206-590-1331 | |