Individual provider Active NPI

Ashley Natalia Virella, PSYD, AAC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1073968616
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5802 Rainier Ave S
Seattle, WA 98118-2706
Phone
(206) 723-1980
NPI assigned
May 2, 2016
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 Primary

Addresses

Primary practice location

5802 Rainier Ave S
Seattle, WA 98118-2706

Mailing address

33110 I St
Ocean Park, WA 98640-5464
Phone (305) 519-6603

Other practice location 1

33110 I St
Ocean Park, WA 98640-5464
Phone (305) 519-6603

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
I20260127004472 WA Practitioner - Clinical Psychologist 7810475365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5802 Rainier Ave S
Seattle, WA 98118-2706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health Services CurrentSince Jan 10, 2026 Accepting new patients
Therapeutic Health Services CurrentSince Jan 10, 2026 Accepting new patients
Pacific University Past Accepting new patients
Eugenia Center PastSince Sep 1, 2024 Accepting new patients

Locations

1116 Summit Ave
Seattle, WA 98101
Phone (206) 323-0930

5802 Rainier Ave S
Seattle, WA 98118
Phone (206) 723-1980

Organizations & group practices 4

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1073968616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33110 I ST",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986405464",
            "telephone_number": "305-519-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182706",
            "telephone_number": "206-723-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33110 I St",
            "address_purpose": "LOCATION",
            "city": "Ocean Park",
            "state": "WA",
            "postal_code": "986405464",
            "country_code": "US",
            "telephone_number": "305-519-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRELLA",
        "first_name": "ASHLEY",
        "middle_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "PSYD, AAC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.