Active NPI
Amanda L Alicea Marcial
- Counselor
- Lakewood, WA
National Provider Identifier
1245065622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHCA.MC.70080327
- Practice address
- 10116 36TH Avenue CT SW Ste 200
Lakewood, WA 98499-4792 - Phone
- (253) 553-3319
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHCA.MC.70080327 | WA | Primary |
Addresses
Primary practice location
10116 36TH Avenue CT SW Ste 200
Lakewood, WA 98499-4792
Mailing address
10116 36TH Avenue CT SW Ste 200
Lakewood, WA 98499-4792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHCA.MC.70080327 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhas Counseling Collective, LLC | Counselor | Past | Accepting new patients |
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": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1245065622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10116 36TH AVENUE CT SW STE 200",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10116 36TH AVENUE CT SW STE 200",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994792",
"telephone_number": "253-553-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALICEA MARCIAL",
"first_name": "AMANDA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MHCA.MC.70080327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.