Organization Active NPI

New Life Counseling Services PLLC

  • Mental Health Counselor
  • Marysville, WA
National Provider Identifier
1356708135
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60502604 Issued in WA
Legal business name
NEW LIFE COUNSELING SERVICES PLLC
Practice address
514 State Ave Ste 107
Marysville, WA 98270-4556
Phone
(253) 269-0224
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Mrs. Diane Melanie Koch, MA, LMHCA,,MHP
Title
Ceo
Phone
(253) 269-0224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CP00001646 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MC60502604 WA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

514 State Ave Ste 107
Marysville, WA 98270-4556

Mailing address

514 State Ave Ste 107
Marysville, WA 98270-4556
Phone (253) 269-0224

Other practice location 1

2366 Eastlake Ave E
Suite 307
Seattle, WA 98102-3366
Phone (253) 269-0224

Other identifiers 1

IdentifierTypeStateIssuer
2039243MedicaidWA

National Provider Directory

National Provider Directory

Locations

514 State Ave
Ste 107
Marysville, WA 98270
Phone (253) 269-0224

Practitioners & affiliated clinicians

Practitioners 2

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": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1356708135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 STATE AVE STE 107",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704556",
            "telephone_number": "253-269-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STATE AVE STE 107",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704556",
            "telephone_number": "253-269-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Eastlake Ave E",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023366",
            "country_code": "US",
            "telephone_number": "253-269-0224",
            "fax_number": "253-833-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MELANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-269-0224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHCA,,MHP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001646",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60502604",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039243",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.