Active NPIIndividual provider

Marvin M Acosta, AAC

Counselor, Mental Health in Redmond, Washington

NPI Number1831530690
Practice location
11629 Avondale RD NE, Avondale, Redmond, WA 98052-2201
Fax
425-653-5071
Last updated
July 15, 2013

Marvin M Acosta, AAC is a Counselor, Mental Health based in Redmond, WA. Marvin M Acosta, AAC holds the professional credentials of AAC. The NPI number for Marvin M Acosta, AAC is 1831530690 and holds license No. CG60391927 (WA). The current practice location address is 11629 Avondale RD NE, Avondale, Redmond, WA 98052-2201 and the office can be reached by phone at 425-653-5070 and by fax at 425-653-5071. The NPI was assigned on July 9, 2013 and the record was last updated in NPPES on July 15, 2013.

●Provider Profile Details

NPI Number
1831530690
Provider Name
Marvin Malalad Acosta
Credential
AAC
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
July 9, 2013
Last Update Date
July 15, 2013
NPI Status
Active

◉Business Practice Location Address

Address
11629 Avondale RD NE
Avondale
Redmond, WA 98052-2201
ZIP
98052-2201
Country
US
Phone Number
425-653-5070
Fax Number
425-653-5071

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✉Business Mailing Address

Address
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
City
Seattle
State
WA
ZIP
98122-2735
Phone Number
206-302-2200
Fax Number
206-302-2210

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor101Y00000XNoCG60391927WA
Counselor, Mental Health101YM0800XYesCG60391927WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Marvin M Acosta, AAC?

The NPI number of Marvin M Acosta, AAC is 1831530690. It was assigned on July 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Marvin M Acosta, AAC?

Marvin M Acosta, AAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. CG60391927 (WA).

Where does Marvin M Acosta, AAC practice?

The practice location is 11629 Avondale RD NE, Avondale, Redmond, WA 98052-2201. The office can be reached at 425-653-5070 (phone) or 425-653-5071 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831530690 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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