Individual provider Active NPI

M'Lyss Maree Fruhling, M.A.

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1336435841
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60142169 Issued in WA
Practice address
14107 Manor Way
Lynnwood, WA 98087-1933
Phone
(206) 310-1332
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60142169 WA Primary

Addresses

Primary practice location

14107 Manor Way
Lynnwood, WA 98087-1933

Mailing address

10116 Main St
Suite 104
Bothell, WA 98011-3400
Phone (206) 310-1332

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
MC60142169WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1336435841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 MAIN ST",
            "address_2": "SUITE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113400",
            "telephone_number": "206-310-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14107 MANOR WAY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871933",
            "telephone_number": "206-310-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUHLING",
        "first_name": "M'LYSS",
        "middle_name": "MAREE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60142169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.