Individual provider Active NPI

Alba Catalina Zuniga

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1952583023
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010962 Issued in WA
Practice address
1621 114TH Ave SE
Bellefield Officepark. the Arbor Building Suite 224
Bellevue, WA 98004-6956
Phone
(425) 227-1547
Fax
(425) 227-1547
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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 LH00010962 WA Primary

Addresses

Primary practice location

1621 114TH Ave SE
Bellefield Officepark. the Arbor Building Suite 224
Bellevue, WA 98004-6956

Mailing address

1621 114TH Ave SE
Bellefield Office Park. the Arbor Building. Suite 224
Bellevue, WA 98004-6956
Phone (425) 227-1547

Other names 1

  • Alba Catalina Pettitt Former 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
LH00010962WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1952583023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE",
            "address_2": "BELLEFIELD OFFICE PARK. THE ARBOR BUILDING. SUITE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046956",
            "telephone_number": "425-227-1547",
            "fax_number": "425-227-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE",
            "address_2": "BELLEFIELD OFFICEPARK. THE ARBOR BUILDING SUITE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046956",
            "telephone_number": "425-227-1547",
            "fax_number": "425-227-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "ALBA",
        "middle_name": "CATALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBA",
            "last_name": "PETTITT",
            "middle_name": "CATALINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.