Individual provider Active NPI

Mary Ashworth, LICSW

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1225206808
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9714 3Rd Ave NE Ste 130
Seattle, WA 98115-2047
Phone
(206) 524-9055
Fax
(877) 903-0394
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA Primary

Addresses

Primary practice location

9714 3Rd Ave NE Ste 130
Seattle, WA 98115-2047

Mailing address

9714 3Rd Ave NE Ste 130
Seattle, WA 98115-2047
Phone (206) 524-9055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW000059300WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Services PastSince Jan 29, 2008 Accepting new patients
Wellspring Family Services Past Accepting new patients
Wellspring Family Services Mental Health Past Accepting new patients

Organizations & group practices 3

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1225206808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152047",
            "telephone_number": "206-524-9055",
            "fax_number": "877-903-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152047",
            "telephone_number": "206-524-9055",
            "fax_number": "877-903-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.