Mercedes Alice, Arnp, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MERCEDES ALICE, ARNP, LLC

Doing business as

Ebb and Flow Mental Health

Practice address

18208 66TH Ave NE Ste 201
Kenmore, WA 98028-7949

Phone

(425) 814-2045

Fax

(425) 814-2783

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Mercedes Marie Alice, ARNP

Title

Owner

Phone

(425) 615-6696

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ebb and Flow Mental Health Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1114571643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 66TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968997",
            "telephone_number": "425-615-6696",
            "fax_number": "425-620-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 66TH AVE NE STE 201",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980287949",
            "telephone_number": "425-814-2045",
            "fax_number": "425-814-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13022 66th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982968997",
            "country_code": "US",
            "telephone_number": "256-156-6964",
            "fax_number": "425-620-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCEDES ALICE, ARNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "ALICE",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-615-6696",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085918",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charmtracker.com",
            "affiliation": "Y",
            "affiliationName": "Eastside Natural Medicine",
            "address_1": "18208 66th Ave NE Ste 201",
            "city": "Kenmore",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980287949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pm.Officeally.com",
            "affiliation": "N",
            "endpointDescription": "Office Ally EHR",
            "address_1": "13022 66th Ave SE",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982968997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ebb and Flow Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connor McGee
• Thomas Edward McGowian, LMP
• Annie Carlton McLaulin, LMP, CD, CLC
• Erica Lee McMahon, LMT
• Karine Melkonyan, CBT
• Carol Micek
• Michael Conway DDS PLLC (Kenmore Dental)
• Michael E McDade DDS
• Emelia Nevada Michaelson, NREMT
• Morgan Michaelson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.