Individual provider Active NPI

Ayako Aizawa, M.S.

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1144345406
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5702 N 26TH St Ste a
Tacoma, WA 98407-2406
Phone
(253) 503-6761
Fax
(253) 503-6925
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5702 N 26TH St Ste a
Tacoma, WA 98407-2406

Mailing address

5702 N 26TH St Ste a
Tacoma, WA 98407-2406
Phone (253) 503-6761

Other practice location 1

325 E Pioneer Ave
Puyallup, WA 98372
Phone (253) 697-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Your Song Counseling Mental Health Current Accepting new patients

Locations

4405 7th Ave SE
Ste 200
Lacey, WA 98503
Phone (360) 200-8071

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144345406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 N 26TH ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072406",
            "telephone_number": "253-503-6761",
            "fax_number": "253-503-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 N 26TH ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072406",
            "telephone_number": "253-503-6761",
            "fax_number": "253-503-6925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Pioneer Ave",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "98372",
            "country_code": "US",
            "telephone_number": "253-697-8400",
            "fax_number": "253-770-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIZAWA",
        "first_name": "AYAKO",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.