Individual provider Active NPI

Chaparrelle Mogavero-Cline, MA, EDM

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1033722889
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60983680 Issued in WA
Practice address
1525 11TH Ave
Seattle, WA 98122-3903
Phone
(310) 621-6646
NPI assigned
Aug 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 MC60983680 WA Primary

Addresses

Primary practice location

1525 11TH Ave
Seattle, WA 98122-3903

Mailing address

2731 E Carthay Cir
Tucson, AZ 85716-4751
Phone (310) 621-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003225 WA Practitioner - Mental Health Counselor 6608346424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60983680WAMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1033722889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 E CARTHAY CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164751",
            "telephone_number": "310-621-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 11TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223903",
            "telephone_number": "310-621-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAVERO-CLINE",
        "first_name": "CHAPARRELLE",
        "credential": "MA, EDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60983680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.