Active NPI
Mariposa Counseling PLLC
- Clinical Social Worker
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MARIPOSA COUNSELING PLLC
- Practice address
- 19125 N Creek Pkwy Ste 149
Bothell, WA 98011-8018 - Phone
- (425) 364-9796
- NPI assigned
- Jul 14, 2022
- Last updated
- Jul 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nora Riley Faram, LICSW
- Title
- Owner
- Phone
- (425) 364-9796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
19125 N Creek Pkwy Ste 149
Bothell, WA 98011-8018
Mailing address
19125 N Creek Pkwy Ste 149
Bothell, WA 98011-8018
Phone (425) 364-9796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235566886 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
19125 North Creek Pkwy
Ste 149
Bothell, WA 98011
Phone (425) 364-9796
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Bothell, WA
- NPI 1235566886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1114651130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19125 N CREEK PKWY STE 149",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118018",
"telephone_number": "425-364-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19125 N CREEK PKWY STE 149",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118018",
"telephone_number": "425-364-9796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIPOSA COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "FARAM",
"authorized_official_first_name": "NORA",
"authorized_official_middle_name": "RILEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-364-9796",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235566886",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.