Individual provider Active NPI

Magalie Roman-Estrada

  • Mental Health Counselor
  • Yakima, WA
National Provider Identifier
1144616731
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61403044 Issued in WA
Practice address
33 S 2ND Ave
Yakima, WA 98902-3414
Phone
(509) 864-7944
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X MC61403044 WA Primary

Addresses

Primary practice location

33 S 2ND Ave
Yakima, WA 98902-3414

Mailing address

33 S 2ND Ave
Yakima, WA 98902-3414
Phone (509) 864-7944

Other identifiers 1

IdentifierTypeStateIssuer
MC6143044OtherWADEPT OF HEALTH

Other names 1

  • Magalie Estrada-Mora Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417001320 WA Practitioner - Psychiatry 2668847096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC61403044WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Health Association CurrentSince Jan 23, 2023 Accepting new patients
Educational Service District 105 CurrentSince Feb 23, 2025 Accepting new patients
Columbia Basin Health Association CurrentSince Jan 23, 2023 Accepting new patients
Columbia Basin Health Association Current Accepting new patients

Locations

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

33 S 2nd Ave
Yakima, WA 98902
Phone (509) 567-6685

Organizations & group practices 4

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1144616731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S 2ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023414",
            "telephone_number": "509-864-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S 2ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023414",
            "telephone_number": "509-864-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-ESTRADA",
        "first_name": "MAGALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61403044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "MC6143044",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGALIE",
            "last_name": "ESTRADA-MORA",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.