Active NPI
Abigail McCarthy
- Counselor
- Tacoma, WA
National Provider Identifier
1275291205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG61252326
- Practice address
- 3901 S Fife St Ste 301
Tacoma, WA 98409-7309 - Phone
- (253) 325-0999
- NPI assigned
- Dec 7, 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 | |||
| Counselor | 101Y00000X | CG61252326 | WA | Primary |
Addresses
Primary practice location
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Mailing address
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Phone (253) 325-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932615630 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tacoma |
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 |
|---|---|---|---|
| CG61252326 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1275291205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S FIFE ST STE 301",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097309",
"telephone_number": "253-325-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S FIFE ST STE 301",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097309",
"telephone_number": "253-325-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "ABIGAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61252326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932615630",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tacoma",
"affiliation": "N",
"address_1": "3901 S Fife St Ste 301",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984097309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.