Individual provider Active NPI

Marianne Esterly, M.A., LMHC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1093173635
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60174438 Issued in WA
Practice address
11417 124TH Ave NE Ste 201B
Kirkland, WA 98033-4677
Phone
(425) 219-5910
NPI assigned
Feb 9, 2016
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 LH60174438 WA Primary

Addresses

Primary practice location

11417 124TH Ave NE Ste 201B
Kirkland, WA 98033-4677

Mailing address

11417 124TH Ave NE Ste 204
Kirkland, WA 98033-4677
Phone (425) 219-5910

Other practice location 1

615 Market St Ste D
Kirkland, WA 98033-5422
Phone (425) 219-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2024 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60174438WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Esterly Counseling, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1093173635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 124TH AVE NE STE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334677",
            "telephone_number": "425-219-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 124TH AVE NE STE 201B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334677",
            "telephone_number": "425-219-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Market St Ste D",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980335422",
            "country_code": "US",
            "telephone_number": "425-219-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTERLY",
        "first_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60174438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.