Active NPI
Mitali Jariwala
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1124835095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1124835095
- Practice address
- 1011 E Main Ste 103
Puyallup, WA 98372-6768 - Phone
- (425) 272-5855
- Fax
- (253) 390-3033
- NPI assigned
- Dec 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1124835095 | WA | Primary |
Addresses
Primary practice location
1011 E Main Ste 103
Puyallup, WA 98372-6768
Mailing address
27412 NE 155TH PL
Duvall, WA 98019-8456
Phone (425) 785-6595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1124835095 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1124835095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27412 NE 155TH PL",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198456",
"telephone_number": "425-785-6595",
"fax_number": "253-390-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E MAIN STE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726768",
"telephone_number": "425-272-5855",
"fax_number": "253-390-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARIWALA",
"first_name": "MITALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-14",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "1124835095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.