Active NPI
Antonia Roszita Mejorado, LMHC, SUDP
- Mental Health Counselor
- Snoqualmie, WA
National Provider Identifier
1770769648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60647519
- Practice address
- 9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577 - Phone
- (425) 831-5425
- Fax
- (425) 831-5428
- NPI assigned
- Jan 10, 2008
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00005924 | WA | |
| Mental Health Counselor | 101YM0800X | LH60647519 | WA | Primary |
Addresses
Primary practice location
9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577
Mailing address
PO Box 1470
Snoqualmie, WA 98065-1470
Phone (206) 227-0261
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00005924 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH60647519 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1770769648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1470",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980651470",
"telephone_number": "206-227-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9575 ETHAN WADE WAY SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659577",
"telephone_number": "425-831-5425",
"fax_number": "425-831-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJORADO",
"first_name": "ANTONIA",
"middle_name": "ROSZITA",
"name_prefix": "Ms.",
"credential": "LMHC, SUDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00005924",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60647519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.