Individual provider Active NPI

Maria Teresa Avalos, EDM LMHC

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1881753879
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006907 Issued in WA
Practice address
8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone
(509) 851-7740
Fax
(509) 546-0520
NPI assigned
Dec 6, 2006
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006907 WA Primary

Addresses

Primary practice location

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678

Mailing address

PO Box 4464
Pasco, WA 99302-4464
Phone (509) 851-7740

Other names 1

  • Teresa Avalos Other name

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
LH00006907WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maria T Avalos Mental Health CurrentSince Nov 12, 2023 Accepting new patients

Locations

8350 W Grandridge Blvd
Ste 200
Kennewick, WA 99336
Phone (509) 528-9593

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1881753879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4464",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993024464",
            "telephone_number": "509-851-7740",
            "fax_number": "509-542-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-851-7740",
            "fax_number": "509-546-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "EDM LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "AVALOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.