Individual provider Active NPI

Laurie Hanaye Tsutakawa, M.A.

  • Mental Health Counselor
  • Marysville, WA
National Provider Identifier
1992986988
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC0005031 Issued in WA
Practice address
4308 76TH St NE
Marysville, WA 98270-3720
Phone
(425) 349-7311
NPI assigned
Nov 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

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 RC0005031 WA Primary

Addresses

Primary practice location

4308 76TH St NE
Marysville, WA 98270-3720

Mailing address

3108 17TH Ave S
Seattle, WA 98144-5807
Phone (206) 383-3788

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RC0005031WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1992986988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 17TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981445807",
            "telephone_number": "206-383-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703720",
            "telephone_number": "425-349-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUTAKAWA",
        "first_name": "LAURIE",
        "middle_name": "HANAYE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC0005031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.