Active NPI
Denise Marie Spears, PT, PEER COUNSELOR
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1689924607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3322 Broadway
Everett, WA 98201-4425 - Phone
- (425) 349-6354
- NPI assigned
- Sep 17, 2012
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT00003517 | WA | |
| Mental Health Counselor | 101YM0800X | WA | Primary |
Addresses
Primary practice location
3322 Broadway
Everett, WA 98201-4425
Mailing address
PO Box 3810
Everett, WA 98213-8810
Phone (425) 349-8359
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 |
|---|---|---|---|
| PT00003517 | WA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1689924607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "EVERETT",
"state": "WA",
"postal_code": "982138810",
"telephone_number": "425-349-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014425",
"telephone_number": "425-349-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PT, PEER COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WA",
"license": "PT00003517",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.