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MAYRA BUSTAMANTE CO61586344
NPI 1720804958
Counselor - Addiction (Substance Use Disorder) in Yakima, WA

Active since December 03, 2024
613 SUPERIOR LN, YAKIMA, WA 98902(509) 853-4151 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mayra Bustamante Co61586344 NPPES

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

MAYRA BUSTAMANTE CO61586344 (NPI 1720804958) is an individual addiction (substance use disorder) provider in Yakima, Washington, licensed in Washington (CO61586344) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1720804958
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMAYRA BUSTAMANTECredential: CO61586344
Location Address613 SUPERIOR LNYakima, WA 98902-1623
Mailing Address613 Superior LnYakima, WA 98902-1623 · (509) 853-4151
Phone(509) 853-4151
Sole ProprietorNo
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1720804958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61586344
613 SUPERIOR LN, Yakima, WA 98902
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Other Identifiers 1

Medicaid91-0755984WA

Other Providers at the Same Location NPPES 8

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

MARIAH ATHENA AUSTIN
Technician, Health Information (Assistant Record Technician)
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
CHRISTY AMANDA WOLFE SUDPT
Counselor (Addiction (Substance Use Disorder))
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 853-4160
CHEYENNE RAE MELTON CM61106957
Technician, Health Information (Assistant Record Technician)
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
YAKIMA VALLEY COUNCIL ON ALCOHOLISM
Substance Abuse Rehabilitation Facility
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
TONI NICOLE SCHWEYEN
Counselor (Addiction (Substance Use Disorder))
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
JUDITH CARDENAS CO60987926
Counselor (Addiction (Substance Use Disorder))
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
KATHLEEN VIRGIE O'MALEY
Counselor (Mental Health)
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 575-4810
COURTNEY ANN BEDELL
Counselor (Addiction (Substance Use Disorder))
613 SUPERIOR LN
YAKIMA, WA 98902
Yakima County (509) 248-1800

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 Mayra Bustamante's NPI number?

The NPI number for Mayra Bustamante is 1720804958. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Mayra Bustamante located?

Mayra Bustamante practices at 613 Superior Ln, Yakima, WA 98902. The listed phone number is (509) 853-4151.

What is Mayra Bustamante's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mayra Bustamante was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.