Healthcare Provider Details

I. General information

NPI: 1104334150
Provider Name (Legal Business Name): BASIC STEPS MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 04/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13322 HIGHWAY 99 SUITE #102
EVERETT WA
98204-5440
US

IV. Provider business mailing address

13322 HIGHWAY 99 SUITE #102
EVERETT WA
98204-5440
US

V. Phone/Fax

Practice location:
  • Phone: 425-588-8438
  • Fax: 425-328-1261
Mailing address:
  • Phone: 425-588-8438
  • Fax: 425-328-1261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1225173453
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1225173453
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number1225173453
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number1225173453
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1225173453
License Number StateWA

VIII. Authorized Official

Name: DR. SCOTT JEFFREY ALPERT
Title or Position: CLINICAL DIRECTOR
Credential: PSYD
Phone: 425-588-8438