MEDICARE: SISU COUNSELING GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518896299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISU COUNSELING GROUP, LLC

Provider Business Mailing Address
First Line	:	1800 138TH PL SE
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4024
Country	:	US
Telephone Number	:	509-443-2281
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 138TH PL SE
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4024
Country	:	US
Telephone Number	:	509-443-2281
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	KRISTINA HELMS
Credential	:	LMHC
Telephone Number	:	509-443-2281

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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