Healthcare Provider Details

I. General information

NPI: 1184199093
Provider Name (Legal Business Name): NATHAN RICE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2018
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 116TH AVE NE
BELLEVUE WA
98004-3045
US

IV. Provider business mailing address

15914 JUANITA DR NE
KENMORE WA
98028-4203
US

V. Phone/Fax

Practice location:
  • Phone: 425-691-6022
  • Fax:
Mailing address:
  • Phone: 425-691-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH61184479
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: