Individual provider Active NPI

Maxie Pape

  • Mental Health Counselor
  • Port Orchard, WA
National Provider Identifier
1285136341
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SC61129782 Issued in WA
Practice address
813 Division St
Port Orchard, WA 98366-4511
Phone
(360) 915-3221
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X SC61129782 WA Primary

Addresses

Primary practice location

813 Division St
Port Orchard, WA 98366-4511

Mailing address

6718 Skipper LN SE
Port Orchard, WA 98367-8370
Phone (480) 720-1480

Other practice location 1

5455 Almira Dr NE
Bremerton, WA 98311-8330
Phone (360) 415-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003914 WA Practitioner - Clinical Social Worker 8123559721 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC61129782WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Group PLLC Mental Health CurrentSince Jul 20, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 8, 2025 Accepting new patients
Multicare Health System CurrentSince Jun 8, 2025 Accepting new patients

Locations

8284 28th Ct NE
Ste A
Lacey, WA 98516
Phone (360) 742-0418

813 Division St
Port Orchard, WA 98366
Phone (360) 890-4099

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 4

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1285136341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 SKIPPER LN SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678370",
            "telephone_number": "480-720-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 DIVISION ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664511",
            "telephone_number": "360-915-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 Almira Dr NE",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983118330",
            "country_code": "US",
            "telephone_number": "360-415-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPE",
        "first_name": "MAXIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61129782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.