Individual provider Active NPI

Carol Arline Aguinaga

  • Counselor
  • Everson, WA
National Provider Identifier
1356674600
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CP00001711 Issued in WA
Practice address
6750 Mission Rd
Everson, WA 98247
Phone
(360) 966-7704
Fax
(360) 966-4225
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CP00001711 WA Primary

Addresses

Primary practice location

6750 Mission Rd
Everson, WA 98247

Mailing address

P.O. Box 648
6750 Mission Rd
Everson, WA 98247
Phone (360) 966-7704

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

State licenses

LicenseStateTypeSpecialty
CP00001711WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1356674600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 648",
            "address_2": "6750 MISSION RD",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "98247",
            "telephone_number": "360-966-7704",
            "fax_number": "360-966-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 MISSION RD",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "98247",
            "telephone_number": "360-966-7704",
            "fax_number": "360-966-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUINAGA",
        "first_name": "CAROL",
        "middle_name": "ARLINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CP00001711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.