Ig Therapy Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60219702 Issued in WA

Legal business name

IG THERAPY SERVICES

Practice address

22626 NE Inglewood Hill Rd Apt 737
Sammamish, WA 98074-5009

Phone

(425) 985-2134

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Esperanza Ivonne Garibay, LMHCA,MHP,EMMHS,CMHS

Title

Director

Phone

(425) 985-2134

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1053795302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22626 NE INGLEWOOD HILL RD APT 737",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745009",
            "telephone_number": "425-985-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22626 NE INGLEWOOD HILL RD APT 737",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745009",
            "telephone_number": "425-985-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IG THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "GARIBAY",
        "authorized_official_first_name": "ESPERANZA",
        "authorized_official_middle_name": "IVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-985-2134",
        "authorized_official_credential": "LMHCA,MHP,EMMHS,CMHS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60219702",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60219702",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MC60219702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sammamish, WA
• Providers in Sammamish, 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 Jul 16, 2015; 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.