Lori A Mudge, MA, LMHCA
Counselor, Mental Health in Seattle, WA. Individual provider (NPI-1).
NPI number1124448147
StatusActive
Last updated in NPPESApr 17, 2014
Details
- NPI
- 1124448147
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lori A Mudge
- Credential
- MA, LMHCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2014
- Last updated
- Apr 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MC60418002 | WA | Yes |
Practice location
600 First Avenue, Suite 625Seattle, WA 98104
Phone 206-218-5905
Mailing address
600 First Avenue, Suite 625Seattle, WA 98104
Phone 206-218-5905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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