Individual provider Active NPI

Brianna Amador

  • Mental Health Counselor
  • Arlington, WA
National Provider Identifier
1871268656
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
307 N Olympic Ave Ste 234
Arlington, WA 98223-1322
Phone
(260) 572-8655
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Mental Health Counselor 101YM0800X MC61388904 WA

Addresses

Primary practice location

307 N Olympic Ave Ste 234
Arlington, WA 98223-1322

Mailing address

307 N Olympic Ave Ste 234
Arlington, WA 98223-1322
Phone (360) 572-8655

Other practice location 1

9330 59th Ave SW # Aw
Lakewood, WA 98499-2858
Phone (253) 620-5015

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

LicenseStateTypeSpecialty
MC61388904WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Resilience Health LLC Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

307 N Olympic Ave
Ste 234
Arlington, WA 98223
Phone (360) 363-4234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1871268656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N OLYMPIC AVE STE 234",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231322",
            "telephone_number": "360-572-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N OLYMPIC AVE STE 234",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231322",
            "telephone_number": "260-572-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 59th Ave SW # Aw",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992858",
            "country_code": "US",
            "telephone_number": "253-620-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61388904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.