Organization Active NPI

Mariposa Counseling PLLC

  • Clinical Social Worker
  • Bothell, WA
National Provider Identifier
1114651130
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Mrs. Nora Riley Faram, LICSWNPI 1235566886
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1235566886MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.