IndividualActive
Angela Susilo, LMHCA
NPI 1831862598 · Mental Health Counselor · Mercer Island, WA
Provider details
- NPI number
- 1831862598
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- MC61094941 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3210 Shorewood Dr Apt 145
Mercer Island, WA 98040-3224
Phone: (331) 444-9206
Street-level locationGet directions
Mailing address
3210 Shorewood Dr Apt 145
Mercer Island, WA 98040-3224
Additional practice locations (1)
- 123 Nw 36th St Ste 210Seattle, WA 98107-4959Phone: (206) 402-5767
Registry dates
- Enumerated
- 2021-07-28
- Last updated
- 2021-08-14
- Certified
- 2021-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.