Individual provider Active NPI

Maricor Kristianne Ribao Coquia

  • Counselor
  • Seattle, WA
National Provider Identifier
1114433273
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5306 Ballard Ave NW Ste 212
Seattle, WA 98107-4366
Phone
(206) 403-1148
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

5306 Ballard Ave NW Ste 212
Seattle, WA 98107-4366

Mailing address

6553 38TH Ave NE
Seattle, WA 98115-7436
Phone (206) 659-8547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2024 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Behavioral Health, LLC PastSince Nov 9, 2021 Accepting new patients
Thrive for the People, PLLC PastSince Feb 11, 2024 Accepting new patients
Hawaii Behavioral Health, LLC PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1114433273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 38TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157436",
            "telephone_number": "206-659-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074366",
            "telephone_number": "206-403-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COQUIA",
        "first_name": "MARICOR KRISTIANNE",
        "middle_name": "RIBAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.