MARY STREET
NPI 1851983894
Counselor in Seattle, WA

Q: What is Mary Street's NPI number?

The NPI number for Mary Street is 1851983894. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Q: What is Mary Street's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Street was last updated on January 25, 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.

Active since February 10, 2021

2120 S PLUM ST STE A, SEATTLE, WA 98144(206) 441-3329 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Feb 10, 2021 (2 updates tracked since 2021).

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About Mary Street NPPES

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

MARY STREET (NPI 1851983894) is an individual counselor in Seattle, Washington and active in the NPI registry since February 2021. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1851983894

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARY STREET

Location Address2120 S PLUM ST STE ASeattle, WA 98144-4539

Mailing Address222 Wall St Ste 100Seattle, WA 98121-1431 · (206) 441-3329 · Fax (206) 441-3014

Phone(206) 441-3329

Sole ProprietorNo

Enumeration DateFebruary 10, 2021

Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2022

✔ NPI 1851983894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

2120 S PLUM ST STE A, Seattle, WA 98144

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Secondary Practice Location 1

Location 1222 Wall St Ste 100Seattle, WA 98121-1431 · Phone (206) 441-3329 ext. 5101 · Fax (206) 441-3014

Other Providers at the Same Location NPPES 15

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

LISA ELAINE GRILLO SUDP

Counselor (Addiction (Substance Use Disorder))