Mary Lanae Ayers, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60146921 Issued in WA

Practice address

10402 SW 268TH St
Vashon, WA 98070

Phone

(206) 300-9639

Fax

(206) 463-7754

NPI assigned

Mar 5, 2008

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1053581066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 SW 268TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708424",
            "telephone_number": "206-300-9639",
            "fax_number": "206-463-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 SW 268TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-300-9639",
            "fax_number": "206-463-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 Bridgeport Way W",
            "address_2": "suite C",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664331",
            "country_code": "US",
            "telephone_number": "206-300-9639",
            "fax_number": "253-564-5603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "MARY",
        "middle_name": "LANAE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00040097",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60146921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Vashon, WA
• Providers in Vashon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.