GENISE RACHELLE BAGBY MA LMHC CDPT NPI 1710330824

NPI Information

NPI: 1710330824
Provider Name: GENISE RACHELLE BAGBY, MA, LMHC, CDPT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
15 S GRADY WAY STE 634
RENTON, WA
ZIP 98057
Phone: (206) 679-8291
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Genise Rachelle Bagby, MA, LMHC, CDPT is a mental health counselor in Renton, WA. Genise Rachelle Bagby, MA, LMHC, CDPT NPI is 1710330824. 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:

15 S GRADY WAY STE 634
RENTON, WA
ZIP 98057-218
Phone: (206) 679-8291
Fax: (206) 274-6252

The NPI 1710330824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/13/2016 and was last updated on 1/4/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO60705270	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LH60844525	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	2099247	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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