Individual provider Active NPI

Valene Stafford, LMHC

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1033596804
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC 60416949 Issued in WA
Practice address
401 N Morain St
Kennewick, WA 99336-2639
Phone
(509) 832-4438
Fax
(509) 735-6181
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC 60416949 WA Primary

Addresses

Primary practice location

401 N Morain St
Kennewick, WA 99336-2639

Mailing address

73204 N Demoss Rd
Benton City, WA 99320-7703
Phone (509) 832-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC 60416949WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstone Psychological Services, PLLC CurrentSince Dec 5, 2021 Accepting new patients
M2 Counseling & Consulting, Inc. Mental Health PastSince Nov 21, 2021 Accepting new patients

Locations

401 N Morain St
Kennewick, WA 99336
Phone (509) 735-1838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1033596804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73204 N DEMOSS RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993207703",
            "telephone_number": "509-832-4438",
            "fax_number": "509-735-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MORAIN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362639",
            "telephone_number": "509-832-4438",
            "fax_number": "509-735-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "VALENE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60416949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.