Active NPI
Naomi Carrasco
- Mental Health Counselor
- Loon Lake, WA
National Provider Identifier
1821654930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61344075
- Practice address
- 3941B Highway 292
Loon Lake, WA 99148-9790 - Phone
- (509) 991-0290
- NPI assigned
- May 14, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61008600 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CG60965335 | WA | |
| Mental Health Counselor | 101YM0800X | LH61344075 | WA | Primary |
Addresses
Primary practice location
3941B Highway 292
Loon Lake, WA 99148-9790
Mailing address
3941B Highway 292
Loon Lake, WA 99148-9790
Phone (509) 991-0290
Other names 1
- Naomi Cherie Cox McCrary
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 |
|---|---|---|---|
| LH61344075 | WA | MD | Mental Health Counselor |
| MC61008600 | WA | MD | Mental Health Counselor |
| CG60965335 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1861495327
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1821654930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941B HIGHWAY 292",
"city": "LOON LAKE",
"state": "WA",
"postal_code": "991489790",
"telephone_number": "509-991-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941B HIGHWAY 292",
"city": "LOON LAKE",
"state": "WA",
"postal_code": "991489790",
"telephone_number": "509-991-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "NAOMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61008600",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CG60965335",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61344075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAOMI",
"last_name": "MCCRARY",
"middle_name": "CHERIE COX",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Loon Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.