Carla Suzette Medel-Agosto, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61523326 Issued in WA

Practice address

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968

Phone

(509) 735-6446

NPI assigned

Apr 24, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carla Medel Former name

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lutheran Community Services Northwest

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seatac, WA
  • NPI 1962628297
  Medicare reassignment
• Lutheran Community Services Northwest

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1609900307
  NPD
• Lutheran Community Services Northwest

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1255542106
  NPD

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1104613819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 W KENNEWICK AVE STE 150",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362968",
            "telephone_number": "509-735-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 W KENNEWICK AVE STE 150",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362968",
            "telephone_number": "509-735-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEL-AGOSTO",
        "first_name": "CARLA",
        "middle_name": "SUZETTE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61523326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "MEDEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tim McNamara, D.D.S.
• Crystalin Ray McReynolds, D161066205
• Julie Lyn McSwane-Iceberg, LMP
• Richard P Meadows, M.D.
• Jennifer Lynn Meads, DPT
• Medical Contracting Services
• Medical Resources NW PC
• Cesar Medina
• Jessica Medina
• Shionna Medrano, MD

• Mental Health Counselor in Kennewick, WA
• Providers in Kennewick, 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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.