Madrona Counseling Institute

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MADRONA COUNSELING INSTITUTE

Practice address

434 Madrona St Ste C
Eastsound, WA 98245-8573

Phone

(916) 413-8544

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassandra Perryman, PHD, LMHC, APCCNPI 1336727809

Title

Director / Ceo

Phone

(916) 413-8544

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Cassandra Perryman

  • Mental Health Counselor
  • Eastsound, WA
  • NPI 1336727809
  Authorized official Same address or phone

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1134845480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982450951",
            "telephone_number": "916-413-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MADRONA ST STE C",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458573",
            "telephone_number": "916-413-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA COUNSELING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR / CEO",
        "authorized_official_telephone_number": "916-413-8544",
        "authorized_official_credential": "PHD, LMHC, APCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secure.simplepractice.com",
            "affiliation": "N",
            "address_1": "434 Madrona St Ste C",
            "city": "Eastsound",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982458573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Parul Kumar, DDS
• John Michael Lewis Jr., DC
• Patricia K. Littlewood, PH.D.
• Stacy Lutz, LIC. AC., LMP
• Sarah Lyle, MD
• Orion Zebedian Mahony, D.C.
• River Mary Malcolm, LMFT
• Manifest Medicine PLLC (Manifest Medicine)
• Manske Mobile Medicine
• Maryann Syers, PHD, LLC

• Mental Health Counselor in Eastsound, WA
• Providers in Eastsound, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.