Active NPI
Ashlee Ivy Marozick, MA, LMHC
- Mental Health Counselor
- Bremerton, WA
National Provider Identifier
1235800954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61205380
- Practice address
- 710 Parkway CT NE
Bremerton, WA 98311-2520 - Phone
- (206) 590-2750
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61205380 | WA | Primary |
| Mental Health Counselor | 101YM0800X | 61364971 | WA |
Addresses
Primary practice location
710 Parkway CT NE
Bremerton, WA 98311-2520
Mailing address
PO Box 831 5201 Tracyton Blvd NW
Tracyton, WA 98393-0831
Phone (206) 590-2750
Other practice location 1
22717 SE 29th St Ste D-101
Sammamish, WA 98075-9532
Phone (425) 269-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 23, 2024 through Apr 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61364971 | WA | MD | Mental Health Counselor |
| MC61205380 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Mind Counseling Services, PLLC | Mental Health | Past | Accepting new patients |
| Centered Connections, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Sammamish, WA
- NPI 1275401739
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sammamish, WA
- NPI 1124614680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1235800954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831 5201 TRACYTON BLVD NW",
"city": "TRACYTON",
"state": "WA",
"postal_code": "983930831",
"telephone_number": "206-590-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 PARKWAY CT NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983112520",
"telephone_number": "206-590-2750"
}
],
"practiceLocations": [
{
"address_1": "22717 SE 29th St Ste D-101",
"address_purpose": "LOCATION",
"city": "Sammamish",
"state": "WA",
"postal_code": "980759532",
"country_code": "US",
"telephone_number": "425-269-3277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAROZICK",
"first_name": "ASHLEE",
"middle_name": "IVY",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61205380",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61364971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.