Organization Active NPI

Dela Counseling & Wellness

  • Mental Health Counselor
  • Bothell, WA
National Provider Identifier
1750061636
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Derynne SamsonNPI 1992397699
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.