Individual provider Active NPI

Mara Serafin X, LMHC

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1902292584
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60838356 Issued in WA
Practice address
7416 212TH St SW
Edmonds, WA 98026-7602
Phone
(425) 245-5800
NPI assigned
Apr 10, 2015
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 LH60838356 WA Primary

Addresses

Primary practice location

7416 212TH St SW
Edmonds, WA 98026-7602

Mailing address

1650 S Topaz Way
Meridian, ID 83642-4474
Phone (208) 605-7070

Other practice location 1

2111 N Northgate Way Ste 100
Seattle, WA 98133-9018
Phone (425) 502-9945

Other practice location 2

924 S Pines Rd Ste 101
Spokane Valley, WA 99206-5423
Phone (509) 299-8160

Other practice location 3

2111 N Northgate Way Ste 101
Seattle, WA 98133-9018
Phone (206) 309-3740

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
LH60838356WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northpoint Washington LLC CurrentSince Mar 31, 2024 Accepting new patients
Evergreen at Northpoint LLC PastSince Sep 1, 2020 Accepting new patients

Locations

1650 S Topaz Way
Meridian, ID 83642
Phone (208) 888-3151

7416 212th St SW
Edmonds, WA 98026
Phone (425) 245-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1902292584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 212TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267602",
            "telephone_number": "425-245-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 N Northgate Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339018",
            "country_code": "US",
            "telephone_number": "425-502-9945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 S Pines Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065423",
            "country_code": "US",
            "telephone_number": "509-299-8160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 N Northgate Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339018",
            "country_code": "US",
            "telephone_number": "206-309-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAFIN",
        "first_name": "MARA",
        "name_suffix": "X",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60838356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.