Active NPI
Amy Klipfel Alvarado, LICSW
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1790803591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00032404
- Practice address
- 750 George Washington Way Ste 7
Richland, WA 99352-4247 - Phone
- (509) 734-5464
- Fax
- (509) 834-7174
- NPI assigned
- Mar 27, 2007
- Last updated
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00032404 | WA | Primary |
Addresses
Primary practice location
750 George Washington Way Ste 7
Richland, WA 99352-4247
Mailing address
750 George Washington Way Ste 7
Richland, WA 99352-4247
Phone (509) 734-5464
Other practice location 1
124 Vista Way # A
Kennewick, WA 99336-3119
Phone (509) 734-5464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00032404 | Other | WA | REGISTERED COUNSELOR |
| 602173041 | Other | WA | REGISTRATIONS AND LICENSE |
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 |
|---|---|---|---|
| RC00032404 | WA | MD | Mental Health Counselor |
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.
-
- Clinical Social Worker
- Kennewick, WA
- NPI 1114478237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1790803591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 GEORGE WASHINGTON WAY STE 7",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524247",
"telephone_number": "509-734-5464",
"fax_number": "509-834-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 GEORGE WASHINGTON WAY STE 7",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524247",
"telephone_number": "509-734-5464",
"fax_number": "509-834-7174"
}
],
"practiceLocations": [
{
"address_1": "124 Vista Way # A",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993363119",
"country_code": "US",
"telephone_number": "509-734-5464",
"fax_number": "509-734-5474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO",
"first_name": "AMY",
"middle_name": "KLIPFEL",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00032404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED COUNSELOR",
"identifier": "RC00032404",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATIONS AND LICENSE",
"identifier": "602173041",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.