Calene Marie Balthazar-Suda

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61622246 Issued in WA

Practice address

4570 Avery LN SE
Lacey, WA 98503-5608

Phone

(360) 464-7935

NPI assigned

Apr 14, 2025

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

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1275328627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAHA RD",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687416",
            "telephone_number": "808-205-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 AVERY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035608",
            "telephone_number": "360-464-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Maha Rd",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "967687416",
            "country_code": "US",
            "telephone_number": "808-205-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTHAZAR-SUDA",
        "first_name": "CALENE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61622246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephenie L Baker
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• Robin Hanson Ballard, PHD
• Rachel Ann Ballou, DO
• Talisa Banda
• Daniel Barash
• Toccara Barber-Hudson, LCSW
• Cara Elizabeth Bardwell, PA-C
• Shelly Marie Barnett, LMFTA

• Mental Health Counselor in Lacey, WA
• Providers in Lacey, 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 Apr 14, 2025; 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.