Amparo Medina-Perez, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7610 40TH St W Ste 300
University Place, WA 98466-3834

Phone

(253) 830-6242

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evolvedmd, Inc.

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
  • NPI 1821613704
  NPD
• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1093864589
  NPD (past)
• Catholic Community Services WW

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1568785293
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1639846868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PACIFIC AVE APT 904",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W STE 300",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663834",
            "telephone_number": "253-830-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 E Indian School Rd Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515469",
            "country_code": "US",
            "telephone_number": "623-404-1821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA-PEREZ",
        "first_name": "AMPARO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean B McPhee, D.D.S.
• McRae and Radonich Inc PS
• Georgia Ann McRae, PT
• Laura Christine Meader
• Medical Equilibrium LLC
• Tanisha Medina, LMHC
• Medtriq LLC
• Medtriq Treatment Center LLC
• Linda Kim Mendoza, DPT
• Iris Brown Meneghel, RN

• Counselor in University Place, WA
• Providers in University Place, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.