Mariana Pop

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LH60582920 Issued in WA

Practice address

12330 NE 8TH St Ste 100
Bellevue, WA 98005-3187

Phone

(425) 326-1091

Fax

(425) 502-8915

NPI assigned

Sep 22, 2015

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1073982849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-326-1091",
            "fax_number": "425-502-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-326-1091",
            "fax_number": "425-502-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POP",
        "first_name": "MARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60185864",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "LH60582920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ponton
• Jonathon David Pontrello, L. AC.
• Molly Poole
• Alice Poon
• Sue Xuan Poon, MD
• Ryan Pope, D.O.
• Lyubov Leonidovna Popovich, PHARM.D.
• Tokiko Mito Poppe, DDS
• David N Porter, LMHC, SUDP
• Timothy Jeffery Porter, AU.D.

• Addiction (Substance Use Disorder) Counselor in Bellevue, WA
• Providers in Bellevue, 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 Sep 24, 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.