Healthcare Provider Details

I. General information

NPI: 1770216731
Provider Name (Legal Business Name): AAKANKSHA PURUSHOTTAM NYATI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 17TH PL S
SEATTLE WA
98168-1615
US

IV. Provider business mailing address

4277 148TH AVE NE # EM207
BELLEVUE WA
98007-3119
US

V. Phone/Fax

Practice location:
  • Phone: 206-766-6969
  • Fax:
Mailing address:
  • Phone: 513-331-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2103695-TRNE
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61626828
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: