Access Holistic Care PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ACCESS HOLISTIC CARE PLLC

Doing business as

Affordable TMS & General Psychiatry

Practice address

4007 Bridgeport Way W Ste B
University Place, WA 98466-4330

Phone

(253) 234-4199

Fax

(206) 594-6141

NPI assigned

Jan 2, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayub Mwaura, PMHNPNPI 1780354944

Title

Pmhnp

Phone

(919) 810-4436

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Affordable TMS & General Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayub Mwaura, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • University Place, WA
  • NPI 1780354944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1679286918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65512",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984641512",
            "telephone_number": "253-234-4199",
            "fax_number": "206-594-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 BRIDGEPORT WAY W STE B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664330",
            "telephone_number": "253-234-4199",
            "fax_number": "206-594-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOLISTIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MWAURA",
        "authorized_official_first_name": "AYUB",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "919-810-4436",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780354944",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable TMS & General Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3 Sisters Outreach and Resources LLC
• A M Counseling (A.M. Counseling LLC)
• Emily Aalona, LMP
• Ahmad Abadullah, MD
• Jessica Fairbanks Abawag, CCC-SLP
• Ahimara Acosta
• Jose Rene Acosta, LCSW
• Braden Jeffry Adams-Lewandowski
• Deanna Adams
• Sacha V.M Adams

• Psychiatric/Mental Health Nurse Practitioner in University Place, WA
• Providers in University Place, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.