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Maximilian Coale Willson , MA, LMHCA

Counselor - Mental Health β€’ Lacey, WA

Active NPI 1952856379 Individual Practitioner Male Practitioner
Practice location in NPPES

4415 14th Ave Se Apt 201
Lacey, WA 985032391

Call 2067567102 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

4415 14th Ave Se Apt 201

Lacey, WA 985032391

Telephone 2067567102
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Seattle, WA. 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

2016

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 Lacey and Washington

121 active clinicians are listed under Counselor - Mental Health with a practice address in Lacey, WA (18,383 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lacey

2.5% of these 121 clinicians have the CMS telehealth indicator.

5.8% of these 121 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: 2026-09-10
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA LH60938898
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WA LH60938898
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

4120 Stone Way N

Seattle, WA 981038014

Phone: 2065458617

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location September 10, 2026

Registered at 4415 14TH AVE SE APT 201, LACEY, WA 985032391 (Tel: 2067567102)

πŸ“
Updated Business Mailing Address September 10, 2026

Registered at 4415 14TH AVE SE APT 201, LACEY, WA 985032391 (Tel: 2067567102)

🏒
Secondary Practice Location Registered September 10, 2026

Additional practice office at 4120 Stone Way N, Seattle, WA 981038014

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2026

Counselor (license number reported to NPPES: WA LH60938898)

βœ…
NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 16, 2016

Registered at 4120 STONE WAY N, SEATTLE, WA 981038014 (Tel: 2065458617)

πŸ“
Business Mailing Address (Initial Record) August 16, 2016

Registered at 4120 STONE WAY N, SEATTLE, WA 981038014 (Tel: 2065458617)

πŸ‘€
Provider Name / Credentials (Initial Record) August 16, 2016

Recorded as MAXIMILIAN WILLSON, M.A., L.M.H.C.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Counselor (license number reported to NPPES: WA MC60595275)

🟒
Initial NPI Registration & Enumeration August 16, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952856379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2016
Last Update: September 10, 2026
Sole Proprietor: No

Mailing Address

4415 14th Ave Se Apt 201

Lacey, WA 985032391

Phone: 2067567102

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.