Active NPI
Amberlyn Faith Rabago Casperson, LMHCA
- Mental Health Counselor
- Tacoma, WA
National Provider Identifier
1033757430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61227066
- Practice address
- 3680 S Cedar St Ste a
Tacoma, WA 98409-5728 - Phone
- (253) 358-0888
- NPI assigned
- Dec 16, 2019
- Last updated
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61227066 | WA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
3680 S Cedar St Ste a
Tacoma, WA 98409-5728
Mailing address
5620 112TH St E Ste 215
Puyallup, WA 98373-3206
Phone (253) 446-7176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61227066 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryce Wilson, PLLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1033757430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 112TH ST E STE 215",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733206",
"telephone_number": "253-446-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 S CEDAR ST STE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984095728",
"telephone_number": "253-358-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPERSON",
"first_name": "AMBERLYN",
"middle_name": "FAITH RABAGO",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2023-05-31",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61227066",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.