Active NPI
Maria Guadalupe Arceno
- Counselor
- Othello, WA
National Provider Identifier
1861159949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 425 E Main St Ste 600
Othello, WA 99344-1146 - Phone
- (509) 488-5611
- Fax
- (509) 488-0166
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 23, 2021
- 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 | WA | Primary |
Addresses
Primary practice location
425 E Main St Ste 600
Othello, WA 99344-1146
Mailing address
425 E Main St Ste 600
Othello, WA 99344-1146
Phone (509) 488-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG61210918 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://identity.onehealthport.com/EmpowerIDWebIdPForms/Login/HCA_PROVIDERONE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Adams | Past | Accepting new patients | |
| County of Adams | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adams County Integrated Health Care Services
- Community/Behavioral Health Agency
- Othello, WA
- NPI 1407855653
-
dba Adams County Integrated Health Care Services
- Community/Behavioral Health Agency
- Othello, WA
- NPI 1487905154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1861159949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E MAIN ST STE 600",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441146",
"telephone_number": "509-488-5611",
"fax_number": "509-488-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E MAIN ST STE 600",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441146",
"telephone_number": "509-488-5611",
"fax_number": "509-488-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCENO",
"first_name": "MARIA",
"middle_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "CG61210918",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://identity.onehealthport.com/EmpowerIDWebIdPForms/Login/HCA_PROVIDERONE",
"affiliation": "N",
"address_1": "425 E Main St Ste 600",
"city": "Othello",
"state": "WA",
"country_code": "US",
"postal_code": "993441146",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Othello, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.