Individual provider Active NPI

Amy Michelle Plumb, MA, LMHC, SUDP, CPC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1619247921
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60403531 Issued in WA
Practice address
1002 N Meridian Ste 100-174
Puyallup, WA 98371-4409
Phone
(206) 429-1763
Fax
(206) 299-0357
NPI assigned
Jan 3, 2012
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60463078 WA
Mental Health Counselor 101YM0800X LH60403531 WA Primary

Addresses

Primary practice location

1002 N Meridian Ste 100-174
Puyallup, WA 98371-4409

Mailing address

1002 N Meridian Ste 100-174
Puyallup, WA 98371-4409
Phone (206) 429-1763

Other identifiers 1

IdentifierTypeStateIssuer
2049950MedicaidWA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60463078WAMDAddiction (Substance Use Disorder) Counselor
LH60403531WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1619247921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N MERIDIAN STE 100-174",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714409",
            "telephone_number": "206-429-1763",
            "fax_number": "206-299-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N MERIDIAN STE 100-174",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714409",
            "telephone_number": "206-429-1763",
            "fax_number": "206-299-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "MA, LMHC, SUDP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60463078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60403531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049950",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.