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TERESA MARIE MACKTAL
NPI 1164165312
Counselor in Seattle, WA

Active since April 15, 2022
2100 24TH AVE S, SEATTLE, WA 98144(206) 382-5340 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Teresa Marie Macktal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA MARIE MACKTAL (NPI 1164165312) is an individual counselor in Seattle, Washington, licensed in Washington (61259688) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1164165312
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTERESA MARIE MACKTAL
Location Address2100 24TH AVE SSeattle, WA 98144-4637
Mailing Address2100 24th Ave SSeattle, WA 98144-4637 · (206) 382-5340
Phone(206) 382-5340
Sole ProprietorNo
Enumeration DateApril 15, 2022
NPPES CertifiedApril 15, 2022
✔ NPI 1164165312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61259688
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2100 24TH AVE S, Seattle, WA 98144
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Other Identifiers 1

Medicaid61259688WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAQUONIA D COOPER
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
OLIVER KENNEDY KLINE
Peer Specialist
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
JENNIE JEPSEN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOVELL SYKES
Community Health Worker
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
KATIE SHERPE
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOU SCHWAB
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 556-5791
RAVINA BANUMATI GOBURDHUN
Case Manager/Care Coordinator
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 610-9708
MACKENZIE PUTMAN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Macktal's NPI number?

The NPI number for Teresa Macktal is 1164165312. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Teresa Macktal located?

Teresa Macktal practices at 2100 24th Ave S, Seattle, WA 98144. The listed phone number is (206) 382-5340.

What is Teresa Macktal's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Teresa Macktal was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.