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AVERY PARK MHC
NPI 1760999023
Counselor - Mental Health in Bellevue, WA

Active since January 08, 2018
15605 SE 1ST ST, BELLEVUE, WA 98008(909) 815-4212 Get Directions Write a Review

NPPES record last updated: June 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2021, May 17, 2021, Jan 15, 2021 and 2 more (5 updates tracked since 2018).

About Avery Park Mhc NPPES

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

AVERY PARK MHC (NPI 1760999023) is an individual mental health provider in Bellevue, Washington, licensed in Washington (MHC.LH.61116070) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1760999023
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAVERY PARKCredential: MHC
Location Address15605 SE 1ST STBellevue, WA 98008-4641
Mailing Address7345 164th Ave Ne # 145-239Redmond, WA 98052-7846 · (909) 815-4212
Phone(909) 815-4212
Sole ProprietorYes
Enumeration DateJanuary 8, 2018
Last NPPES UpdateJune 19, 20215 updates tracked since enumeration
NPPES CertifiedJune 19, 2021
✔ NPI 1760999023 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 · MHC.LH.61116070
15605 SE 1ST ST, Bellevue, WA 98008
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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 Avery Park's NPI number?

The NPI number for Avery Park is 1760999023. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Avery Park located?

Avery Park practices at 15605 SE 1st St, Bellevue, WA 98008. The listed phone number is (909) 815-4212.

What is Avery Park'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 Avery Park was last updated on June 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.