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EATING RECOVERY CENTER OF WASHINGTON
NPI 1235596842
Counselor - Mental Health in Bellevue, WA

Active since January 27, 2016CLIA 50D2075832 · Waiver
1601 114TH AVE SE, BELLEVUE, WA 98004(425) 451-8501 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eating Recovery Center Of Washington NPPES

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

EATING RECOVERY CENTER OF WASHINGTON (NPI 1235596842) is a healthcare organization registered as a mental health in Bellevue, Washington and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Matt Crockett, President, as its authorized official.

NPPES Registry Identity

NPI1235596842
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEATING RECOVERY CENTER OF WASHINGTON
Location Address1601 114TH AVE SEBellevue, WA 98004-6950
Mailing Address4130 Jasperwood CtColorado Springs, CO 80920-6620
Phone(425) 451-8501
Organization SubpartNo
Authorized OfficialMatt CrockettPresident · (425) 451-1134
Enumeration DateJanuary 27, 2016
✔ NPI 1235596842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60617943
1601 114TH AVE SE, Bellevue, WA 98004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2075832

Eating Recovery Center - Washington · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2075832
Laboratory TypeResidential Treatment Fac
Certificate Effective DateApril 7, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmy Richards
Laboratory Phone(425) 451-1134
Laboratory LocationEating Recovery Center - Washington1231 116th Ave NE, Bellevue, WA 98004
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

TERRY HAND MSW
Counselor (Mental Health)
1601 114TH AVE SE, SUITE 108
BELLEVUE, WA 98004
King County (425) 646-1050
DR. GREGORY S. GREENBERG PH.D.
Psychologist
1601 114TH AVE SE, SUITE 107
BELLEVUE, WA 98004
King County (425) 637-7700
LESLIE JOHANNES M.ED., LMFT
Marriage & Family Therapist
1601 114TH AVE SE, SUITE 108
BELLEVUE, WA 98004
King County (425) 452-9767
DIANA CHISLETT RD
Dietitian, Registered
1601 114TH AVE SE, #180
BELLEVUE, WA 98004
King County (425) 451-1134
DR. JANIS T. HORIKE PH.D.
Psychologist (Cognitive & Behavioral)
1601 114TH AVE SE, SUITE 107
BELLEVUE, WA 98004
King County (425) 452-0306
MARY LEE MCELROY LMHC
Counselor (Mental Health)
1601 114TH AVE SE, SUITE 169
BELLEVUE, WA 98004
King County (425) 452-9079
GREGORY S. GREENBERG, PH.D., PLLC
Psychologist
1601 114TH AVE SE, SUITE 107
BELLEVUE, WA 98004
King County (425) 637-7700
MS. MARSHA MARIE MEYERS L.I.C.S.W.
Social Worker (Clinical)
1601 114TH AVE SE, SUITE 108
BELLEVUE, WA 98004
King County (425) 462-7909

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 Eating Recovery Center Of Washington's NPI number?

The NPI number for Eating Recovery Center Of Washington is 1235596842. It was assigned to this organization in the NPPES registry on January 27, 2016.

Where is Eating Recovery Center Of Washington located?

Eating Recovery Center Of Washington is located at 1601 114th Ave SE, Bellevue, WA 98004. The listed phone number is (425) 451-8501.

What is Eating Recovery Center Of Washington's specialty?

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

Does Eating Recovery Center Of Washington hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2075832) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eating Recovery Center Of Washington was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.