Individual provider Active NPI

Marcy Boland

  • Mental Health Counselor
  • Clinton, WA
National Provider Identifier
1457264756
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHCA.MC.61623870 Issued in WA
Practice address
4233 Nuthatch Way
Clinton, WA 98236-8714
Phone
(360) 320-0534
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHCA.MC.61623870 WA Primary

Addresses

Primary practice location

4233 Nuthatch Way
Clinton, WA 98236-8714

Mailing address

4233 Nuthatch Way
Clinton, WA 98236-8714
Phone (360) 320-0534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1457264756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 NUTHATCH WAY",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368714",
            "telephone_number": "360-320-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 NUTHATCH WAY",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368714",
            "telephone_number": "360-320-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "MARCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.61623870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.