Individual provider Active NPI

Mariam Opincar Merrin, MA, LPCC, LMHC, SUDP

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1295137412
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60675467 Issued in WA
Practice address
144 Railroad Ave
Edmonds, WA 98020-7207
Phone
(206) 486-0242
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60675467 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO 60516023 WA

Addresses

Primary practice location

144 Railroad Ave
Edmonds, WA 98020-7207

Mailing address

5500 Harbour Pointe Blvd Apt E203
Mukilteo, WA 98275-5176
Phone (206) 486-0242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241108003283 CA Practitioner - Mental Health Counselor 6103350426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kendall Individual Family and Marriage Therapists IncGroup PAC ID 5890231872, 2 clinicians

Practice addresses (Care Compare)

1622 4TH St
Santa Rosa, CA 95404-4020
Phone (707) 241-4518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CO 60516023WAMDAddiction (Substance Use Disorder) Counselor
LH 60675467WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Individual Family and Marriage Therapists Inc Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

1622 4th St
Santa Rosa, CA 95404
Phone (707) 216-1758

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1295137412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HARBOUR POINTE BLVD APT E203",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755176",
            "telephone_number": "206-486-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 RAILROAD AVE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207207",
            "telephone_number": "206-486-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIN",
        "first_name": "MARIAM",
        "middle_name": "OPINCAR",
        "credential": "MA, LPCC, LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60675467",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60516023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.