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DAISY S VERGARA MS, NCC, LMHC
NPI 1316118003
Counselor - Mental Health in Issaquah, WA

Active since March 20, 2008Opted out of Medicare · through Jan 10, 2028
22500 SE 64TH PL STE G-150, ISSAQUAH, WA 98027(425) 686-9509 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

About Daisy S Vergara Ms, Ncc, Lmhc NPPES

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

DAISY S VERGARA MS, NCC, LMHC (NPI 1316118003) is an individual mental health provider in Issaquah, Washington, licensed in Washington (LH-60428413) and active in the NPI registry since March 2008. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1316118003
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAISY S VERGARACredential: MS, NCC, LMHC
Location Address22500 SE 64TH PL STE G-150Issaquah, WA 98027-8111
Mailing Address23515 Ne Novelty Hill Rd Ste B221-159Redmond, WA 98053-1996 · (425) 686-9509
Phone(425) 686-9509
Sole ProprietorYes
Enumeration DateMarch 20, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1316118003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · LH-60428413✔ Licensed in HI · MHC-179
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 65961 (TX)
22500 SE 64TH PL STE G-150, Issaquah, WA 98027
Open in Google Maps ↗

Other Names 1

Professional Name (2)Daisy Surjo Vergara Ms, Ncc, Lmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Daisy S Vergara Ms, Ncc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PACIFIC NORTHWEST BEHAVIORAL HEALTH SERVICES, PLLC
Counselor (Mental Health)
22500 SE 64TH PL STE G-150
ISSAQUAH, WA 98027
King County (425) 686-9509

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 Daisy Vergara's NPI number?

The NPI number for Daisy Vergara is 1316118003. It was assigned to this individual provider in the NPPES registry on March 20, 2008. The provider is also known as Daisy Surjo Vergara Ms, Ncc, Lmhc.

Where is Daisy Vergara located?

Daisy Vergara practices at 22500 SE 64th Pl Ste G-150, Issaquah, WA 98027. The listed phone number is (425) 686-9509.

What is Daisy Vergara's specialty?

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

Is Daisy Vergara enrolled in Medicare?

No. Daisy Vergara has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Daisy Vergara accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Daisy Vergara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daisy Vergara was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.