Individual provider Active NPI

Mary Lou Macarius, MA

  • Marriage & Family Therapist
  • Auburn, WA
National Provider Identifier
1154530780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002199 Issued in WA
Practice address
649 I PL NE
Auburn, WA 98002-4300
Phone
(253) 333-9568
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002199 WA Primary

Addresses

Primary practice location

649 I PL NE
Auburn, WA 98002-4300

Mailing address

649 I PL NE
Auburn, WA 98002-4300
Phone (253) 333-9568

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119002609 WA Practitioner - Marriage and Family Therapist 5799137253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - Washington, PCGroup PAC ID 1052787488, 17 clinicians

Practice addresses (Care Compare)

10303 Meridian Ave N
Suite 200
Seattle, WA 98133-9483
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF00002199WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Washington, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10303 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 588-5202

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154530780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 I PL NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024300",
            "telephone_number": "253-333-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 I PL NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024300",
            "telephone_number": "253-333-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARIUS",
        "first_name": "MARY LOU",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.