Mary Lousie McEuin, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4841 Auto Center Way Ste 101
Bremerton, WA 98312-4388

Phone

(360) 373-1529

NPI assigned

Dec 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Louise Stivers Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Agape Unlimited

  • Addiction (Substance Use Disorder) Counselor
  • Bremerton, WA
  • NPI 1538282272
  NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1750040713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEUIN",
        "first_name": "MARY",
        "middle_name": "LOUSIE",
        "credential": "SUDPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990365",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reliatrax.net",
            "affiliation": "N",
            "endpointDescription": "electronic medical record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4841 Auto Center Way Ste 101",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983124388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omccourry@agapelkitsap.org",
            "affiliation": "N",
            "address_1": "4841 Auto Center Way Ste 101",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983124388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STIVERS",
            "middle_name": "LOUISE",
            "credential": "CMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madelyn Paige McDermitt
• Candi McDonald
• James Michael McDonald, M.D.
• Ryan G McDonald, PSY.D.
• Robert F McDonough
• Inara McEwen, FNP
• Lareesa Renee McFall
• Theresa Lynn McFarland, MD
• Tyler McFarland, LMHC
• Blythe Anne McGeisey

• Addiction (Substance Use Disorder) Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.