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DAVID FAGERHOLM M.ED,MHP, LMHCA, NCC
NPI 1841692084
Counselor - Mental Health in Seattle, WA

Active since September 18, 2014PECOS Enrolled
122 16TH AVE E, SEATTLE, WA 98112(206) 302-2700 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Fagerholm M.ed,mhp, Lmhca, Ncc NPPES

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

DAVID FAGERHOLM M.ED,MHP, LMHCA, NCC (NPI 1841692084) is an individual mental health provider in Seattle, Washington, licensed in Washington (MC 60612129) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841692084
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID FAGERHOLMCredential: M.ED,MHP, LMHCA, NCC
Location Address122 16TH AVE ESeattle, WA 98112-5212
Mailing Address1600 E Olive StSeattle, WA 98122-2735
Phone(206) 302-2700
Sole ProprietorYes
Enumeration DateSeptember 18, 2014
Last NPPES UpdateJuly 22, 2016
✔ NPI 1841692084 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 · MC 60612129
122 16TH AVE E, Seattle, WA 98112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Fagerholm M.ed,mhp, Lmhca, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MATTHEW L WALD
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
JASON SLADE
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
KYLE S GREGG
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2800
RYAN E DOMITZ MS
Counselor
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 901-2000
HAYDEN ROBERT FLETCHER
Peer Specialist
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 901-2000
CATHERINE T GREGORY
Student in an Organized Health Care Education/Training Program
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
SCOTT JOHNSON
Counselor
122 16TH AVE E
SEATTLE, WA 98112
King County (206) 302-2700
MS. HANNAH LENORA HARRISON MSW
Counselor (Mental Health)
122 16TH AVE E, SOUND MENTAL HEALTH CHN
SEATTLE, WA 98112
King County (206) 302-2700

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 David Fagerholm's NPI number?

The NPI number for David Fagerholm is 1841692084. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is David Fagerholm located?

David Fagerholm practices at 122 16th Ave E, Seattle, WA 98112. The listed phone number is (206) 302-2700.

What is David Fagerholm's specialty?

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

Is David Fagerholm enrolled in Medicare?

Yes. David Fagerholm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Fagerholm was last updated on July 22, 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.