Active NPI
New Life Counseling Services PLLC
- Mental Health Counselor
- Marysville, WA
National Provider Identifier
1356708135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60502604
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00001646 | WA | |
| Mental Health Counselor | 101YM0800X | MC60502604 | WA | Primary |
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039243 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Marysville, WA
- NPI 1740536457
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Everett, WA
- NPI 1295181105
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
- Melissa Selica Nelson, LMP
- Parinitha Neravanda Prasad, MD
- New Life Addiction and Recovery Services
- New Life Addiction and Recovery Services PLLC
- New Life Addiction and Recovery Services PLLC
- New Life for Everyone PLLC
- New Life Lab Services LLC
- Nicole Lynette Newcomb, LMP
- Paula Georgette Newman-Skomski, ARNP, FNP-C
- Emily Camchau DO Nguyen, O.D.
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.