San Juan Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SAN JUAN COUNSELING, PLLC

Practice address

325 Court St
Friday Harbor, WA 98250-7900

Phone

(206) 601-1814

NPI assigned

May 20, 2021

Last updated

May 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria De Bruyn, LMHCNPI 1124296322

Title

Owner

Phone

(206) 601-1814

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Maria Carolina De Bruyn, M.A.

  • Mental Health Counselor
  • Marysville, WA
  • NPI 1124296322
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1780259937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 COURT ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COURT ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507900",
            "telephone_number": "206-601-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "DE BRUYN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-601-1814",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHMC LICENSE",
            "identifier": "LH61135848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Roberts, LICSW
• Arna Kay Robins-Delappe, ARNP
• Rooted Physical Therapy PLLC
• Steven Rubey, MD
• Isaac Salmeron, (R)(RT)(CT)(ARRT)
• San Juan County Health & Community Services
• San Juan County Health & Community Services
• San Juan County Public Hospital District No 1 (Inter Island Medical Center)
• San Juan Healthcare Associates PLLC
• San Juan Healthcare PC

• Counselor in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.