Mary Blaine Atwater, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61218033 Issued in WA

Practice address

3745 Resort Road
Unit D
Greenbank, WA 98253

Phone

(360) 320-2949

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seatac Senior Psychology LLCGroup PAC ID 7719032226, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seatac Senior Psychology LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1831326834
  Medicare reassignment Care Compare group NPD
• Puget Sound Senior Psychology LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1487881488
  Medicare reassignment
• Seatac Senior Psychology LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1639306582
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1386303048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 RESORT ROAD",
            "address_2": "UNIT D",
            "city": "GREENBANK",
            "state": "WA",
            "postal_code": "98253",
            "telephone_number": "360-320-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 RESORT ROAD",
            "address_2": "UNIT D",
            "city": "GREENBANK",
            "state": "WA",
            "postal_code": "98253",
            "telephone_number": "360-320-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWATER",
        "first_name": "MARY",
        "middle_name": "BLAINE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61218033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Michelle Bialek, R.N.
• Megan Renee Brown
• Andrew Christopher Chan
• Judith Carol Corbin, RN
• Greenbank Women'S Clinic and Birth Center, Limited

• Mental Health Counselor in Greenbank, WA
• Providers in Greenbank, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.