Active NPI
Magalie Roman-Estrada
- Mental Health Counselor
- Yakima, WA
National Provider Identifier
1144616731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61403044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC6143044 | Other | WA | DEPT OF HEALTH |
Other names 1
- Magalie Estrada-Mora
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61403044 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Current | Accepting new patients | |
| Educational Service District 105 | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1619915006
-
- Local Education Agency (LEA)
- Yakima, WA
- NPI 1982245817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.