Individual provider Active NPI

Marykathleen Schurman Tihinen

  • Mental Health Counselor
  • Duvall, WA
National Provider Identifier
1235666348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
15715 Main St NE Ste 210
Duvall, WA 98019-8580
Phone
(425) 224-6123
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

15715 Main St NE Ste 210
Duvall, WA 98019-8580

Mailing address

PO Box 3
Duvall, WA 98019-0003
Phone (425) 224-5438

Other practice location 1

14090 Fryelands Blvd SE Ste 347
Monroe, WA 98272-2760
Phone (425) 765-5962

Other names 1

  • Ms. Marykathleen Bordlemay Schurman Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235666348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190003",
            "telephone_number": "425-224-5438",
            "fax_number": "425-224-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 MAIN ST NE STE 210",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198580",
            "telephone_number": "425-224-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14090 Fryelands Blvd SE Ste 347",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982722760",
            "country_code": "US",
            "telephone_number": "425-765-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIHINEN",
        "first_name": "MARYKATHLEEN",
        "middle_name": "SCHURMAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYKATHLEEN",
            "last_name": "SCHURMAN",
            "middle_name": "BORDLEMAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duvall, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.