Individual provider Active NPI

Antonia Ramos, M.S.

  • Mental Health Counselor
  • Tulalip, WA
National Provider Identifier
1780342469
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61223452 Issued in WA
Practice address
2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone
(360) 716-4347
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61223452 WA Primary

Addresses

Primary practice location

2821 Mission Hill Rd
Tulalip, WA 98271-9706

Mailing address

12908 Alfred Sam Dr
Tulalip, WA 98271-7079
Phone (425) 791-4448

Other identifiers 1

IdentifierTypeStateIssuer
2630OtherWAINDIAN HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.onehealthport.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623002727 TX Practitioner - Mental Health Counselor 4981177847

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6406 Marine Dr
Suite a
Tulalip, WA 98271-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61223452WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uw Counseling Center Mental Health 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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1780342469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12908 ALFRED SAM DR",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982717079",
            "telephone_number": "425-791-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANTONIA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61223452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN HEALTH",
            "identifier": "2630",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.onehealthport.com/",
            "affiliation": "N",
            "address_1": "2821 Mission Hill Rd",
            "city": "Tulalip",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982719706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulalip, WA

Sources for this page

Verify at the official NPI Registry.