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Dariya Kabanova

Counselor β€’ Mount Vernon, WA

Active NPI 1023542040 Individual Practitioner Female Practitioner
Practice location in NPPES

1100 S 2nd St
Mount Vernon, WA 982734209

Call 3604197554 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 S 2nd St

Mount Vernon, WA 982734209

Telephone 3604197554
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Everett, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mount Vernon and Washington

54 active clinicians are listed under Counselor with a practice address in Mount Vernon, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mount Vernon

0% of these 54 clinicians have the CMS telehealth indicator.

0% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

4526 Federal Ave

Everett, WA 982032132

Phone: 4253496200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Steven Carter

Assistant Behavior Analyst

NPI 1013440387
Dr. Dennis Gaither , MD

Psychiatry & Neurology - Psychiatry

NPI 1730123084

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 24, 2018

Registered at 1100 S 2ND ST, MOUNT VERNON, WA 982734209 (Tel: 3604197554)

πŸ“
Updated Business Mailing Address January 24, 2018

Registered at 1100 S 2ND ST, MOUNT VERNON, WA 982734209 (Tel: 3604197554)

πŸ‘€
Provider Name / Credentials Updated January 24, 2018

Recorded as DARIYA KABANOVA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Counselor

βœ…
NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2017

Registered at 4526 FEDERAL AVE, EVERETT, WA 982032132 (Tel: 4253496200)

πŸ“
Business Mailing Address (Initial Record) April 17, 2017

Registered at 1011 E DIVISION ST, APT 204, MOUNT VERNON, WA 982744051 (Tel: 4025985991)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2017

Recorded as DARIYA KABANOVA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Counselor

🟒
Initial NPI Registration & Enumeration April 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023542040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1100 S 2nd St

Mount Vernon, WA 982734209

Phone: 3604197554

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.