Masterpeace Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MASTERPEACE COUNSELING, PLLC

Practice address

1311 E Division St
Mount Vernon, WA 98274-4134

Phone

(360) 300-5755

Fax

(360) 276-6450

NPI assigned

Dec 1, 2022

Organization subpart

No

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

Authorized official

Name

Caroline Cruse, MSW, LICSW, CMHS

Title

Owner

Phone

(360) 300-5755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1154031128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257 PMB 9911",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98507",
            "telephone_number": "360-300-5755",
            "fax_number": "360-276-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744134",
            "telephone_number": "360-300-5755",
            "fax_number": "360-276-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPEACE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-300-5755",
        "authorized_official_credential": "MSW, LICSW, CMHS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Martinez
• Marcela Lopez Martinez X
• Maria Angeles Martinez
• Diane C Marx, RDN
• Massage Radiance
• Bruce C Mathey, MD
• Susan Ruth Mathey, CDP
• Christopher Ryan Mathis, LMHC
• Abcde Matias
• Ron Matteo

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.