Active NPI
Marisa Ariel Ayala, LPC
- Counselor
- Nampa, ID
National Provider Identifier
1649896762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-6966
- Practice address
- 123 N Yale St
Nampa, ID 83651-2340 - Phone
- (208) 585-3375
- NPI assigned
- Jun 24, 2020
- Last updated
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-6966 | ID | Primary |
Addresses
Primary practice location
123 N Yale St
Nampa, ID 83651-2340
Mailing address
1999 E Wilson LN Apt C
Meridian, ID 83642-2378
Phone (443) 538-2426
Other practice location 1
923 Grant St
Caldwell, ID 83605-4137
Phone (208) 585-3375
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 |
|---|---|---|---|
| LPC-6966 | ID | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Resources LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1649896762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 E WILSON LN APT C",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422378",
"telephone_number": "443-538-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N YALE ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512340",
"telephone_number": "208-585-3375"
}
],
"practiceLocations": [
{
"address_1": "923 Grant St",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836054137",
"country_code": "US",
"telephone_number": "208-585-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYALA",
"first_name": "MARISA",
"middle_name": "ARIEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-6966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.