Alicia Michelle Ponte

Individual provider Active NPI Mental Health Counselor · Camano Island, WA

NPI 1952199879 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1952199879
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MC61652365 (WA)
Practice address
1143 E State Route 532
Camano Island, WA 98282-8833
Phone
(425) 224-3134
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MC61652365WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61652365 WA Yes

Addresses

Primary practice location

1143 E State Route 532
Camano Island, WA 98282-8833

Mailing address

1972 Elhardt St
Camano Island, WA 98282-8365
Phone (425) 224-3134

Other names

  • Ally Michelle Ponte Other name

Other providers in Camano Island, WA

All providers in Camano Island, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.