Organization Active NPI

Heart and Soul Therapy, PLLC

  • Clinical Social Worker
  • Freeland, WA
National Provider Identifier
1851045553
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEART AND SOUL THERAPY, PLLC
Practice address
1804 Scott Rd Ste 304
Freeland, WA 98249-9680
Phone
(425) 583-8993
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Maureen Schuster
Title
Owner
Phone
(425) 583-8993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1804 Scott Rd Ste 304
Freeland, WA 98249-9680

Mailing address

8050 Mukilteo Speedway Unit 428
Mukilteo, WA 98275-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220915002845 WA Part B Supplier - Clinic/Group Practice 3870978547 Receives reassigned benefits from 1 practitioner
Practice locations: Freeland, WA

National Provider Directory

National Provider Directory

Locations

1804 Scott Rd
Ste 304
Freeland, WA 98249
Phone (425) 583-8993

8050 Mukilteo Speedway
Unit 428
Mukilteo, WA 98275

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1851045553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MUKILTEO SPEEDWAY UNIT 428",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 SCOTT RD STE 304",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499680",
            "telephone_number": "425-583-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-583-8993"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.