Individual provider Active NPI

Tanya Kai Marrazzo, MS CDP MHP LMHC

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1215325709
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60510123 Issued in WA
Practice address
1005 N Pines Rd
Suite 120
Spokane Valley, WA 99206-4986
Phone
(509) 389-8550
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60280436 WA
Mental Health Counselor 101YM0800X LH 60510123 WA Primary

Addresses

Primary practice location

1005 N Pines Rd
Suite 120
Spokane Valley, WA 99206-4986

Mailing address

1005 N Pines Rd
Suite 120
Spokane Valley, WA 99206-4986
Phone (509) 389-8559

Other identifiers 1

IdentifierTypeStateIssuer
2044924MedicaidWA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP60280436WAMDAddiction (Substance Use Disorder) Counselor
LH 60510123WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1215325709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD",
            "address_2": "SUITE 120",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064986",
            "telephone_number": "509-389-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD",
            "address_2": "SUITE 120",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064986",
            "telephone_number": "509-389-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRAZZO",
        "first_name": "TANYA",
        "middle_name": "KAI",
        "name_prefix": "Mrs.",
        "credential": "MS CDP MHP LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60280436",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60510123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044924",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.