Maple Leaf Healing Arts Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002247 Issued in WA

Legal business name

MAPLE LEAF HEALING ARTS CLINIC

Practice address

9200 Roosevelt Way NE
Seattle, WA 98115-2842

Phone

(206) 527-4568

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Gail Michelle Clevenger, L.M.P., L.AC.NPI 1710106471

Title

Owner

Phone

(206) 595-4512

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Michelle Clevenger, L.AC., L.M.P.

  • Acupuncturist
  • Edmonds, WA
  • NPI 1710106471
  NPD (past) Authorized official

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1699075606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-595-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152842",
            "telephone_number": "206-527-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF HEALING ARTS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-595-4512",
        "authorized_official_credential": "L.M.P., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002247",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00011147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Mao, M.D.
• Jessica Y Mao
• Map Counseling
• Maple Hill Psychotherapy, Inc.
• Maple Leaf DBT, PLLC
• Maple Leaf Mental Health PLLC
• Kirsten Nicole Maples, LAC.
• Sara Beth Maples, CRNA
• Crystal Mappala, LMP
• Jordan Mapu

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.