Individual provider Active NPI

Marilyn N Sueirro, LMHC

  • Mental Health Counselor
  • Camano Island, WA
National Provider Identifier
1942856828
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1839 Lake Dr
Camano Island, WA 98282-7607
Phone
(206) 459-9064
NPI assigned
Aug 15, 2019
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 Primary

Addresses

Primary practice location

1839 Lake Dr
Camano Island, WA 98282-7607

Mailing address

1839 Lake Dr
Camano Island, WA 98282-7607
Phone (206) 459-9064

Other names 1

  • Marilyn N Mitchell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127003218 WA Practitioner - Mental Health Counselor 9830675594 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1839 Lake Dr
Camano Island, WA 98282-7607

450 Alaskan Way S
Suite 200
Seattle, WA 98104-2785
Phone (206) 590-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Counseling Center PastSince Aug 1, 2019 Accepting new patients

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1942856828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 LAKE DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982827607",
            "telephone_number": "206-459-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 LAKE DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982827607",
            "telephone_number": "206-459-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEIRRO",
        "first_name": "MARILYN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MITCHELL",
            "middle_name": "N",
            "credential": "LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camano Island, WA

Sources for this page

Verify at the official NPI Registry.