Active NPI
Doris O Leary, REGISTERED COUNSELOR
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1508984584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00000864
- Practice address
- 100 23 Ave So
Seattle, WA 98144 - Phone
- (206) 322-2269
- Fax
- (202) 328-5909
- NPI assigned
- Mar 27, 2007
- 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 | CP00000442 | WA | |
| Mental Health Counselor | 101YM0800X | RC00000864 | WA | Primary |
Addresses
Primary practice location
100 23 Ave So
Seattle, WA 98144
Mailing address
1048 NE 127TH St
Seattle, WA 98125
Phone (206) 310-6805
Other names 1
- Doris Mendoza
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 |
|---|---|---|---|
| CP00000442 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| RC00000864 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508984584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 NE 127TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-310-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 23 AVE SO",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98144",
"telephone_number": "206-322-2269",
"fax_number": "202-328-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O LEARY",
"first_name": "DORIS",
"credential": "REGISTERED COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00000442",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00000864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORIS",
"last_name": "MENDOZA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.