Active NPI
Margaret Terese Ferris, SUDP
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1366896474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1515 116TH Ave NE Ste 302
Bellevue, WA 98004-3811 - Phone
- (425) 646-4406
- Fax
- (425) 646-4409
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00001791 | WA | |
| Mental Health Counselor | 101YM0800X | WA | Primary |
Addresses
Primary practice location
1515 116TH Ave NE Ste 302
Bellevue, WA 98004-3811
Mailing address
1515 116TH Ave NE Ste 302
Bellevue, WA 98004-3811
Phone (425) 646-4406
Other practice location 1
14670 NE 8th St Ste 168
Bellevue, WA 98007-4127
Phone (425) 646-4406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP00001791 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00001791 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1366896474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE STE 302",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043811",
"telephone_number": "425-646-4406",
"fax_number": "425-646-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE STE 302",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043811",
"telephone_number": "425-646-4406",
"fax_number": "425-646-4409"
}
],
"practiceLocations": [
{
"address_1": "14670 NE 8th St Ste 168",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980074127",
"country_code": "US",
"telephone_number": "425-646-4406",
"fax_number": "425-646-4409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRIS",
"first_name": "MARGARET",
"middle_name": "TERESE",
"name_prefix": "Mrs.",
"credential": "SUDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00001791",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "CP00001791",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.