Individual provider Active NPI

Carrie Umporowicz, M.A., LMFTA

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1013547439
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MG61016150 Issued in WA
Practice address
15406 Meridian E
Puyallup, WA 98375-9504
Phone
(254) 200-5787
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MG61016150 WA Primary

Addresses

Primary practice location

15406 Meridian E
Puyallup, WA 98375-9504

Mailing address

849 173Rd St S
Spanaway, WA 98387-8921
Phone (206) 353-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MG61016150WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1013547439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 173RD ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878921",
            "telephone_number": "206-353-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "254-200-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPOROWICZ",
        "first_name": "CARRIE",
        "credential": "M.A., LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG61016150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.