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CALENE MARIE BALTHAZAR-SUDA
NPI 1275328627
Counselor - Mental Health in Lacey, WA

Active since April 14, 2025
4570 AVERY LN SE, LACEY, WA 98503(360) 464-7935 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calene Marie Balthazar-suda NPPES

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

CALENE MARIE BALTHAZAR-SUDA (NPI 1275328627) is an individual mental health provider in Lacey, Washington, licensed in Washington (61622246) and active in the NPI registry since April 2025. She maintains a secondary practice location in Makawao.

NPPES Registry Identity

NPI1275328627
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCALENE MARIE BALTHAZAR-SUDA
Location Address4570 AVERY LN SELacey, WA 98503-5608
Mailing Address103 Maha RdMakawao, HI 96768-7416 · (808) 205-1621
Phone(360) 464-7935
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1275328627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 61622246
4570 AVERY LN SE, Lacey, WA 98503
Open in Google Maps ↗

Secondary Practice Location 1

Location 1103 Maha RdMakawao, HI 96768-7416 · Phone (808) 205-1621

Other Providers at the Same Location NPPES 5

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

MCKENNA JOHNSON LMHCA
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
PETRA ARMSTRONG LMHCA
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
TERRENCE HUGHES
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
LAN N LE
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
DEOTILA LUCAS TAKULYABWANI
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935

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 Calene Balthazar-suda's NPI number?

The NPI number for Calene Balthazar-suda is 1275328627. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Calene Balthazar-suda located?

Calene Balthazar-suda practices at 4570 Avery Ln SE, Lacey, WA 98503. The listed phone number is (360) 464-7935.

What is Calene Balthazar-suda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Calene Balthazar-suda was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.