MS. KUMIKO MIZUTANI BOUTZ LMHC
NPI 1407499536
Counselor - Mental Health in Tukwila, WA

Q: What is Kumiko Boutz's NPI number?

The NPI number for Kumiko Boutz is 1407499536. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Q: What is Kumiko Boutz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kumiko Boutz was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment

7100 FORT DENT WAY STE 220, TUKWILA, WA 98188(206) 708-7274 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kumiko Mizutani Boutz Lmhc NPPES

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

MS. KUMIKO MIZUTANI BOUTZ LMHC (NPI 1407499536) is an individual mental health provider in Tukwila, Washington, licensed in Washington (LH60865179) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407499536

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. KUMIKO MIZUTANI BOUTZCredential: LMHC

Location Address7100 FORT DENT WAY STE 220Tukwila, WA 98188-8553

Mailing Address11130 Se 208th St Apt F203Kent, WA 98031-4196 · (206) 478-0596

Phone(206) 708-7274

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 22, 2019

✔ NPI 1407499536 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 · LH60865179

7100 FORT DENT WAY STE 220, Tukwila, WA 98188

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kumiko Mizutani Boutz Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577915198

PECOS Enrollment IDI20240119001003

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARIA F GENT LMHCA

Counselor (Mental Health)