Organization Active NPI

Mino Ode' Counseling PLLC

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1487448502
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINO ODE' COUNSELING PLLC
Doing business as
Mino Ode' Counseling PLLC
Practice address
1120 Pacific Ave Ste 100
Tacoma, WA 98402-4330
Phone
(206) 414-8963
Fax
(206) 420-0332
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Deborah Mischo, LICSWNPI 1003957721
Title
Owner
Phone
(206) 414-8963

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1120 Pacific Ave Ste 100
Tacoma, WA 98402-4330

Mailing address

2522 N Proctor St Ste 151
Tacoma, WA 98406-5338
Phone (206) 414-8963

Other names 1

  • Mino Ode' Counseling PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520002330 WA Part B Supplier - Clinic/Group Practice 1759809049 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

1120 Pacific Ave
Ste 100
Tacoma, WA 98402
Phone (206) 414-8963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1487448502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST STE 151",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "206-414-8963",
            "fax_number": "206-420-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PACIFIC AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024330",
            "telephone_number": "206-414-8963",
            "fax_number": "206-420-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINO ODE' COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MISCHO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-414-8963",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mino Ode' Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mino Ode' Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.