Active NPI
Mary Alice Mendenhall
- Counselor
- Pasco, WA
National Provider Identifier
1831419928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1020 S 7TH Ave
Pasco, WA 99301-5794 - Phone
- (509) 547-9000
- NPI assigned
- Jun 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1020 S 7TH Ave
Pasco, WA 99301-5794
Mailing address
1020 S 7TH Ave
Pasco, WA 99301-5794
Phone (509) 547-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4442 | Medicaid | AK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1831419928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 S 7TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015794",
"telephone_number": "509-547-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S 7TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015794",
"telephone_number": "509-547-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDENHALL",
"first_name": "MARY",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA4442",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.