Individual provider Active NPI

Carolina Bella Manzo

  • Counselor
  • Tukwila, WA
National Provider Identifier
1134622996
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
13925 Interurban Ave S Ste 120
Tukwila, WA 98168-5718
Phone
(206) 948-0096
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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

13925 Interurban Ave S Ste 120
Tukwila, WA 98168-5718

Mailing address

2200 W Meeker St Apt Y526
Kent, WA 98032-3526
Phone (619) 816-0810

Other practice location 1

1710 S Amphlett Blvd Ste 314
San Mateo, CA 94402-2736
Phone (650) 242-0179

Other practice location 2

730 Medical Center Ct
Chula Vista, CA 91911-6618
Phone (619) 421-6979

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Autism Learning Services, Inc Past Accepting new patients

Organizations & group practices 1

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1134622996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W MEEKER ST APT Y526",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323526",
            "telephone_number": "619-816-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 INTERURBAN AVE S STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685718",
            "telephone_number": "206-948-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 S Amphlett Blvd Ste 314",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022736",
            "country_code": "US",
            "telephone_number": "650-242-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116618",
            "country_code": "US",
            "telephone_number": "619-421-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZO",
        "first_name": "CAROLINA",
        "middle_name": "BELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.