Maricel Castorena Mastrud

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHCA.MC.61604364 Issued in WA

Practice address

7200 NE 41St St Ste 100
Vancouver, WA 98662-7935

Phone

(360) 953-3199

NPI assigned

Jun 19, 2023

Last updated

May 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Margo Maricel Mastrud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwest Emdr Therapy LLC

  • Counselor
  • Vancouver, WA
  • NPI 1578137857

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1205511185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SE SUNRISE DR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079419",
            "telephone_number": "206-999-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NE 41ST ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627935",
            "telephone_number": "360-953-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRUD",
        "first_name": "MARICEL",
        "middle_name": "CASTORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.61604364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "MASTRUD",
            "middle_name": "MARICEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chance Massie, RN
• Ginger Rose Masters
• Mark Patrick Masterson, MSW
• Ariel Mastrich, N.D.
• Madelane Elizabeth Mastrud
• Brianna Matekovich
• Christina Carmen Mateo, MD
• Erin Lynn Matheny, CPC
• Geoffrey Matheson
• Pauline Bain Matheson, LICSW

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.