THE SELF-INCLUSIVE COLLECTIVE, PLLC
NPI 1104560028
Counselor - Mental Health in Seattle, WA

Q: What is The Self-Inclusive Collective, PLLC's NPI number?

The NPI number for The Self-Inclusive Collective, PLLC is 1104560028. It was assigned to this organization in the NPPES registry on April 26, 2022.

Q: What is The Self-Inclusive Collective, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 26, 2022

4018 CALIFORNIA AVE SW APT 5, SEATTLE, WA 98116(206) 569-4509 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2023, Apr 26, 2022 (2 updates tracked since 2022).

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About The Self-inclusive Collective, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SELF-INCLUSIVE COLLECTIVE, PLLC (NPI 1104560028) is a healthcare organization registered as a mental health in Seattle, Washington and active in the NPI registry since April 2022. The organization lists Nicholas Mims, Member, Licensed Counselor, as its authorized official.

NPPES Registry Identity

NPI1104560028

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameTHE SELF-INCLUSIVE COLLECTIVE, PLLC

Location Address4018 CALIFORNIA AVE SW APT 5Seattle, WA 98116-3782

Mailing Address100 N Howard St Ste 4424Spokane, WA 99201-0508

Phone(206) 569-4509

Organization SubpartNo

Authorized OfficialNicholas MimsMember, Licensed Counselor · (571) 268-1466

Enumeration DateApril 26, 2022

Last NPPES UpdateApril 3, 20232 updates tracked since enumeration

NPPES CertifiedApril 3, 2023

✔ NPI 1104560028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4018 CALIFORNIA AVE SW APT 5, Seattle, WA 98116

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS ARRINGTON MIMS MA, LPC, LMHC

Counselor (Mental Health)

4018 CALIFORNIA AVE SW APT 5
SEATTLE, WA 98116

King County (206) 569-4509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Self-Inclusive Collective, PLLC's NPI number?

The NPI number for The Self-Inclusive Collective, PLLC is 1104560028. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is The Self-Inclusive Collective, PLLC located?

The Self-Inclusive Collective, PLLC is located at 4018 California Ave SW Apt 5, Seattle, WA 98116. The listed phone number is (206) 569-4509.

What is The Self-Inclusive Collective, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for The Self-Inclusive Collective, PLLC was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.