Individual provider Active NPI

Alice Pauline Butler, MA

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1306362447
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61508664 Issued in WA
Practice address
306 Wells Ave S Unit D
Renton, WA 98057-2786
Phone
(206) 479-4545
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 MG60875270 WA
Mental Health Counselor 101YM0800X MC61508664 WA Primary

Addresses

Primary practice location

306 Wells Ave S Unit D
Renton, WA 98057-2786

Mailing address

306 Wells Ave S Unit D
Renton, WA 98057-2786
Phone (206) 479-4545

Other names 1

  • Alice Pauline Luna Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC61508664WAMDMental Health Counselor
MG60875270WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Place to Be Free Current Accepting new patients
Brock Family Therapy Center Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

306 Wells Ave S
Unit D
Renton, WA 98057
Phone (206) 479-4545

Organizations & group practices 2

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1306362447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WELLS AVE S UNIT D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572786",
            "telephone_number": "206-479-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WELLS AVE S UNIT D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572786",
            "telephone_number": "206-479-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALICE",
        "middle_name": "PAULINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG60875270",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61508664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "LUNA",
            "middle_name": "PAULINE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.