Active NPI
Maria Petralia
- Counselor
- Monroe, WA
National Provider Identifier
1851700827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC60365562
- Practice address
- 14090 Fryelands Blvd SE
Suite 347
Monroe, WA 98272-2693 - Phone
- (360) 805-3122
- Fax
- (360) 805-9180
- NPI assigned
- Aug 4, 2014
- 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 | MC60365562 | WA | Primary |
Addresses
Primary practice location
14090 Fryelands Blvd SE
Suite 347
Monroe, WA 98272-2693
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-0502
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 |
|---|---|---|---|
| MC60365562 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1851700827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "206-764-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14090 FRYELANDS BLVD SE",
"address_2": "SUITE 347",
"city": "MONROE",
"state": "WA",
"postal_code": "982722693",
"telephone_number": "360-805-3122",
"fax_number": "360-805-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRALIA",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC60365562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.