Izanne Marais

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60905070 Issued in WA

Practice address

1016 W Main St
Monroe, WA 98272-2018

Phone

(425) 349-8810

NPI assigned

Jan 11, 2019

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1083188189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15126 277TH PL NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198568",
            "telephone_number": "425-949-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722018",
            "telephone_number": "425-349-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAIS",
        "first_name": "IZANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60905070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lynn Malatesta, D.P.T
• Danielle Marie Malmberg, LMP
• Mani & Sons LLC
• Teri L Manley, L.AC.
• Lisa M Manzione, RN
• Mariana Marban-Maldonado, LMFTA
• Michelle L Marcoux
• Kelly Rene Marks
• Eunice Margaret Marpaung, MD
• Madison Nicole Marsee, PTA.P1.70119141

• Mental Health Counselor in Monroe, WA
• Providers in Monroe, 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 Jan 11, 2019; 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.