Mary Chellberg

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

61675098 Issued in WA

Practice address

1712 6TH Ave Ste 202
Tacoma, WA 98405-3300

Phone

(253) 473-7586

Fax

(253) 590-0211

NPI assigned

May 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Al'Ta Counseling & Testing L.L.C.

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1346547064
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1912797028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26718 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708319",
            "telephone_number": "815-847-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "253-473-7586",
            "fax_number": "253-590-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLBERG",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61675098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Chebahtah
• Sandra Ka Lai Chee
• Jerome Levar Cheeks, LPN
• Edward Thomas Cheers
• Irene Chege, PA-C
• Rebecca Chellberg
• Judith A Chelotti, ARNP
• Angela Lynn Chelucci
• Celina Grace Chelucci
• Allison Yishing Chen

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.