Northwest Holistic Therapies, P.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NORTHWEST HOLISTIC THERAPIES, P.S.

Practice address

19125 N Creek Pkwy
Bothell, WA 98011-8035

Phone

(425) 375-0432

Fax

(425) 740-0516

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Sophia Sprague, LMHCNPI 1225460439

Title

Owner & Clinical Director

Phone

(425) 375-0432

Specialties & licenses 1

Addresses

Other names 1

• Northwest Holistic Therapies, P.S. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya Sophia Sprague, MA, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1225460439
  NPD Authorized official
• Katherine L Simonpietri

  • Mental Health Counselor
  • Bothell, WA
  • NPI 1700303997
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1306308556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18024 49TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980375400",
            "telephone_number": "425-418-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 N CREEK PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118035",
            "telephone_number": "425-375-0432",
            "fax_number": "425-740-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 35th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014799",
            "country_code": "US",
            "telephone_number": "425-375-0432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST HOLISTIC THERAPIES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-375-0432",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Holistic Therapies, P.S.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northwest Holistic Therapies, P.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Bothell, WA
• Providers in Bothell, 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 8, 2024; 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.