Active NPI
Dela Counseling & Wellness
- Mental Health Counselor
- Bothell, WA
National Provider Identifier
1750061636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DELA COUNSELING & WELLNESS
- Practice address
- 20017 102ND CT NE
Bothell, WA 98011-2456 - Phone
- (714) 794-7574
- NPI assigned
- Jul 24, 2023
- Last updated
- Apr 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derynne Samson
- Title
- Owner
- Phone
- (714) 794-7574
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
20017 102ND CT NE
Bothell, WA 98011-2456
Mailing address
20017 102ND CT NE
Bothell, WA 98011-2456
Phone (714) 794-7574
Other practice location 1
9725 SE 36th St Ste 403
Mercer Island, WA 98040-3840
Phone (714) 794-7574
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Bothell, WA
- NPI 1992397699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1750061636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20017 102ND CT NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112456",
"telephone_number": "714-794-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20017 102ND CT NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112456",
"telephone_number": "714-794-7574"
}
],
"practiceLocations": [
{
"address_1": "9725 SE 36th St Ste 403",
"address_purpose": "LOCATION",
"city": "Mercer Island",
"state": "WA",
"postal_code": "980403840",
"country_code": "US",
"telephone_number": "714-794-7574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DELA COUNSELING & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "SAMSON",
"authorized_official_first_name": "DERYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-794-7574"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.