Individual provider Active NPI

Carmen Caneda-D'Ambrosi, PH.D.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1083867790
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00055557 Issued in WA
Practice address
2033 Minor Ave E
Ste 1
Seattle, WA 98102-3574
Phone
(206) 219-9533
NPI assigned
Oct 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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 RC00055557 WA Primary

Addresses

Primary practice location

2033 Minor Ave E
Ste 1
Seattle, WA 98102-3574

Mailing address

2033 Minor Ave E
Ste 1
Seattle, WA 98102-3574
Phone (206) 219-9533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RC00055557WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1083867790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MINOR AVE E",
            "address_2": "STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023574",
            "telephone_number": "206-219-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MINOR AVE E",
            "address_2": "STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023574",
            "telephone_number": "206-219-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEDA-D'AMBROSI",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00055557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.