Individual provider Active NPI

Betty Pacheco, COUNSELOR

  • Mental Health Counselor
  • Pasco, WA
National Provider Identifier
1720204076
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00035068 Issued in WA
Practice address
224 N 7TH Ave
Pasco, WA 99301-5411
Phone
(509) 545-4462
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00035068 WA Primary

Addresses

Primary practice location

224 N 7TH Ave
Pasco, WA 99301-5411

Mailing address

224 N 7TH Ave
Pasco, WA 99301-5411
Phone (509) 545-4462

Other practice location 1

1020 S 7th Ave
Pasco, WA 99301
Phone (509) 547-9000

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

LicenseStateTypeSpecialty
RC00035068WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes at Pasco Past Accepting new patients
Lourdes Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1720204076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015411",
            "telephone_number": "509-545-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015411",
            "telephone_number": "509-545-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "99301",
            "country_code": "US",
            "telephone_number": "509-547-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BETTY",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00035068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.