Organization Active NPI

Cloverhope Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1396614566
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLOVERHOPE MENTAL HEALTH SERVICES PLLC
Practice address
32020 1St Ave S Ste 113
Federal Way, WA 98003-5743
Phone
(253) 600-4965
Fax
(253) 600-4960
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Agnes Andal Maramba, NPNPI 1770158172
Title
DNP, Owner
Phone
(253) 600-4965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

32020 1St Ave S Ste 113
Federal Way, WA 98003-5743

Mailing address

32020 1St Ave S Ste 113
Federal Way, WA 98003-5743
Phone (253) 600-4965

National Provider Directory

National Provider Directory
Tax ID family
Cloverhope Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32020 1st Ave S
Ste 113
Federal Way, WA 98003
Phone (253) 600-4965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1396614566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S STE 113",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035743",
            "telephone_number": "253-600-4965",
            "fax_number": "253-600-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S STE 113",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035743",
            "telephone_number": "253-600-4965",
            "fax_number": "253-600-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERHOPE MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MARAMBA",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "ANDAL",
        "authorized_official_title_or_position": "DNP, OWNER",
        "authorized_official_telephone_number": "253-600-4965",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.