Individual provider Active NPI

Maureen Casandra Pierce, PH.D.

  • Counseling Psychologist
  • Des Moines, WA
National Provider Identifier
1215944798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00002983 Issued in WA
Practice address
22517 7TH Ave S
Des Moines, WA 98198-6820
Phone
(206) 824-3950
Fax
(206) 870-9081
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

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
Counseling Psychologist 103TC1900X PY00002983 WA Primary

Addresses

Primary practice location

22517 7TH Ave S
Des Moines, WA 98198-6820

Mailing address

22517 7TH Ave S
Des Moines, WA 98198-6820
Phone (206) 824-3950

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
I20050506000383 WA Practitioner - Clinical Psychologist 2365482551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22517 7TH Ave S
Des Moines, WA 98198-6820
Phone (206) 824-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002983WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen C Pierce PHD Inc PS Counseling CurrentSince Jun 1, 2006 Accepting new patients

Locations

22517 7th Ave S
Des Moines, WA 98198
Phone (206) 824-3950

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215944798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22517 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986820",
            "telephone_number": "206-824-3950",
            "fax_number": "206-870-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22517 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986820",
            "telephone_number": "206-824-3950",
            "fax_number": "206-870-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MAUREEN",
        "middle_name": "CASANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.