Maya Sophia Sprague, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

18024 49TH PL W
Lynnwood, WA 98037-5400

Phone

(425) 418-2949

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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 Holistic Therapies, P.S.

  • Mental Health Counselor
  • Bothell, WA
  • NPI 1306308556
  NPD Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1225460439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18024 49TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980375400",
            "telephone_number": "425-418-2949",
            "fax_number": "425-673-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18024 49TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980375400",
            "telephone_number": "425-418-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "MAYA",
        "middle_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina T Spencer, BS, MA-C, CMI
• Elizabeth A Speranza, LMHCA
• Steven D. Sperling, M.D.
• Kristopher Adam Spinning, MD
• Spokane Digestive Disease Center, P.S.
• Mary V Springer, RN
• Springhealth Behavioral Health and Integrated Care Washington, LLC
• Squareone Services, SPC (Square One)
• Jennifer Lynn Squire, DPT
• Savita Srivastava

• Mental Health Counselor in Lynnwood, WA
• Providers in Lynnwood, 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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.