BRIDGITTE CAMELIA MATHIASEN LMHC MSCC BS NPI 1053609503

NPI Information

NPI: 1053609503
Provider Name: BRIDGITTE CAMELIA MATHIASEN, LMHC, MSCC, BS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
4445 TALBOT RD S
RENTON, WA
ZIP 98055
Phone: (425) 656-4055
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Bridgitte Camelia Mathiasen, LMHC, MSCC, BS is a mental health counselor in Renton, WA. Bridgitte Camelia Mathiasen, LMHC, MSCC, BS NPI is 1053609503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4445 TALBOT RD S
RENTON, WA
ZIP 98055-219
Phone: (425) 656-4055
Fax: (425) 656-5425

The NPI 1053609503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist				No
2	273R00000X	Psychiatric Unit				No
3	101YP2500X	Counselor	Professional	LH60604127	WASHINGTON	No
4	102L00000X	Psychoanalyst		LH60604127	WASHINGTON	No
5	1041C0700X	Social Worker	Clinical			No
6	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
7	101YM0800X	Counselor	Mental Health	LH60604127	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2074643	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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