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Lacey Everett

Counselor β€’ Bothell, WA

Active NPI 1922683705 Individual Practitioner Female Practitioner
Practice location in NPPES

10414 Beardslee Blvd Ste 100
Bothell, WA 980113205

Call 4254860658 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10414 Beardslee Blvd Ste 100

Bothell, WA 980113205

Telephone 4254860658
Organization at the Same NPPES Address or Phone
Healthpoint Facility NPI 1821096405

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Escondido, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

25 active clinicians are listed under Counselor with a practice address in Bothell, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

0% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-22
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA MC61423815

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

490 N Grape St

Escondido, CA 920253079

Phone: 7609759939

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. John Brinjak , DO

Family Medicine

NPI 1699335851

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Chin , MD

Family Medicine

NPI 1477553394

Doctor of Medicine (M.D.)

Manoj Easaw

Family Medicine

NPI 1548672553
Bowhee Gwak

Family Medicine

NPI 1366856569
Ana Haberman

Nurse Practitioner

NPI 1578139960
Karlie Hippman

Physician Assistant

NPI 1639728090

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 21, 2023

Registered at 10414 BEARDSLEE BLVD STE 100, BOTHELL, WA 980113205 (Tel: 4254860658)

πŸ“
Updated Business Mailing Address March 21, 2023

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

πŸ‘€
Provider Name / Credentials Updated March 21, 2023

Recorded as LACEY EVERETT

βœ…
NPI Profile Active March 13, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 13, 2021

Registered at 490 N GRAPE ST, ESCONDIDO, CA 920253079 (Tel: 7609759939)

πŸ“
Business Mailing Address (Initial Record) March 13, 2021

Registered at 23817 HAYES AVE, MURRIETA, CA 925625224 (Tel: 9517048595)

πŸ‘€
Provider Name / Credentials (Initial Record) March 13, 2021

Recorded as LACEY EVERETT, STUDENT INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922683705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2021
Last Update: August 22, 2023
Sole Proprietor: No

Mailing Address

955 Powell Ave Sw

Renton, WA 980572908

Phone: 4252771311

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.