Individual provider Active NPI

Mona L Laflore

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1114063179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00051411 Issued in WA
Practice address
547 Dayton St
Edmonds, WA 98020-3431
Phone
(425) 771-5166
Fax
(425) 670-2807
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RC00051411 WA Primary

Addresses

Primary practice location

547 Dayton St
Edmonds, WA 98020-3431

Mailing address

4318 58TH Dr NE
Marysville, WA 98270-6943
Phone (425) 771-5166

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

State licenses

LicenseStateTypeSpecialty
RC00051411WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114063179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 58TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706943",
            "telephone_number": "425-771-5166",
            "fax_number": "425-670-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 DAYTON ST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203431",
            "telephone_number": "425-771-5166",
            "fax_number": "425-670-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLORE",
        "first_name": "MONA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00051411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.