Organization Active NPI

Terra Dusa, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1356077705
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TERRA DUSA, PLLC
Practice address
12544 37TH Ave NE
Seattle, WA 98125-4655
Phone
(206) 867-4547
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Alina Soto, ND, LMHCANPI 1578809786
Title
Ceo
Phone
(206) 867-4547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

12544 37TH Ave NE
Seattle, WA 98125-4655

Mailing address

12544 37TH Ave NE
Seattle, WA 98125-4655
Phone (206) 483-4584

Other identifiers 3

IdentifierTypeStateIssuer
MC60939101OtherWALICENSED MENTAL HEALTH COUNSELOR
1578809786OtherWAPROVIDER NPI
NT61109144OtherWANATUROPATHIC DOCTOR LICENSE

Other names 1

  • Terra Dusa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CharmEHR Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1356077705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12544 37TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254655",
            "telephone_number": "206-483-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12544 37TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254655",
            "telephone_number": "206-867-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA DUSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-867-4547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LMHCA"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MC60939101",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1578809786",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC DOCTOR LICENSE",
            "identifier": "NT61109144",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CharmEHR",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic",
            "address_1": "12544 37th Ave NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981254655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Terra Dusa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.