Karen Mitrakul Deguzman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010900 Issued in WA

Practice address

3916 148TH St SE
Mill Creek, WA 98012-4751

Phone

(425) 339-5453

Fax

(425) 304-1102

NPI assigned

Oct 15, 2019

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optum Care Washington PLLC

  • Ambulatory Surgical Clinic/Center
  • Everett, WA
  • NPI 1154318103
  NPD (past)
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mill Creek, WA
  • NPI 1164972527
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1265074892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-339-5453",
            "fax_number": "425-304-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 148TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124751",
            "telephone_number": "425-339-5453",
            "fax_number": "425-304-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "KAREN",
        "middle_name": "MITRAKUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ralph De Haan, PSY.D.
• Melanie Diane Dilger De la Cantera, RN, BSN, IBCLC
• Cheryl De Roca, M.A., M.S.
• Holly D Debevoise
• Kristin Dedeaux, D.C.
• Jason Patrick Dekema
• Preston John Dekker, DDS
• Jenifer Rae Denormandie
• Lisa Ann Depietto
• Dion Richard Di Blasi, OD

• Mental Health Counselor in Mill Creek, WA
• Providers in Mill Creek, 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 Oct 15, 2019; 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.