Active NPI
Freda Carda
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1851683015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00009897
- Practice address
- 17502 138TH Avenue CT E
Puyallup, WA 98374-8898 - Phone
- (360) 893-1511
- NPI assigned
- May 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00009897 | WA | Primary |
| School Counselor | 101YS0200X | 420721C | WA |
Addresses
Primary practice location
17502 138TH Avenue CT E
Puyallup, WA 98374-8898
Mailing address
17502 138TH Avenue CT E
Puyallup, WA 98374-8898
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 |
|---|---|---|---|
| 00009897 | WA | MD | Mental Health Counselor |
| 420721C | WA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1851683015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17502 138TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17502 138TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748898",
"telephone_number": "360-893-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDA",
"first_name": "FREDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "00009897",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "WA",
"license": "420721C",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.