Individual provider Active NPI

Rosa Maria De Prado Gonzalez, LMFT

  • Marriage & Family Therapist
  • Monroe, WA
National Provider Identifier
1184289704
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
61068153 Issued in WA
Practice address
1237 W Main St
Monroe, WA 98272-2028
Phone
(425) 406-0146
NPI assigned
May 8, 2019
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 61068153 WA Primary

Addresses

Primary practice location

1237 W Main St
Monroe, WA 98272-2028

Mailing address

19732 132ND St SE
Snohomish, WA 98290
Phone (714) 215-0166

Other names 1

  • Rosy De Prado Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61068153WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stories of Hope PLLC Mental Health Current Accepting new patients

Locations

1237 W Main St
Monroe, WA 98272
Phone (360) 386-2796

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1184289704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19732 132ND ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "714-215-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722028",
            "telephone_number": "425-406-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PRADO GONZALEZ",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "61068153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSY",
            "last_name": "DE PRADO",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.