MEDICARE: CLOSE KNIT COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TB0200X	Cognitive & Behavioral Psychologist
3	1041C0700X	Clinical Social Worker
4	106H00000X	Marriage & Family Therapist
5	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1275492464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOSE KNIT COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4100 LAKE WASHINGTON BLVD N APT C102
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98056-1588
Country	:	US
Telephone Number	:	425-522-2440
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 LAKE WASHINGTON BLVD N APT C102
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98056-1588
Country	:	US
Telephone Number	:	425-522-2440
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIE GOOBES
Credential	:	LMFT, MEDFT
Telephone Number	:	425-985-8523

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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