Active NPI
Isabela Carvajal
- Mental Health Counselor
- Kenmore, WA
National Provider Identifier
1760144695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6126 NE Bothell Highway
Kenmore, WA 98028 - Phone
- (509) 903-8598
- NPI assigned
- Oct 7, 2021
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
6126 NE Bothell Highway
Kenmore, WA 98028
Mailing address
1313 1St St Lowr Unit
Kirkland, WA 98033-5413
Phone (214) 726-5674
Other practice location 1
1375 NW Mall St Ste 4
Issaquah, WA 98027-8950
Phone (425) 654-0800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Health Group, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1760144695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 1ST ST LOWR UNIT",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335413",
"telephone_number": "214-726-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 NE BOTHELL HIGHWAY",
"city": "KENMORE",
"state": "WA",
"postal_code": "98028",
"telephone_number": "509-903-8598"
}
],
"practiceLocations": [
{
"address_1": "1375 NW Mall St Ste 4",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980278950",
"country_code": "US",
"telephone_number": "425-654-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARVAJAL",
"first_name": "ISABELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.