Karissa Louise Mano

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO 60731691 Issued in WA

Practice address

14829 Meridian Ave N
Shoreline, WA 98133-6725

Phone

(714) 262-5145

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1043750284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14829 MERIDIAN AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336725",
            "telephone_number": "714-262-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14829 MERIDIAN AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336725",
            "telephone_number": "714-262-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANO",
        "first_name": "KARISSA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60731691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malole Counseling PLLC
• Jamie Maloy, DPT
• Kevin Patrick Maloy, MA,MHP,LMHC
• Angelina Joy Manaois, NONE
• Natasha Mann
• Catherina Macandog Marcelo, HCA
• Kristi Jill Marion
• Marisa E Delisle, DC PS
• Charia A Markos, D.C.
• Karleen Michael Mars Tamte

• Addiction (Substance Use Disorder) Counselor in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.