Stephen Peter Bogan, M.A., L.M.H.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH00004352 Issued in WA

Practice address

6407 Fauntleroy S.W.
Seattle, WA 98136-1820

Phone

(206) 463-3050

Fax

(206) 463-6137

NPI assigned

May 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1053630442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930-S.W. POHL ROAD",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708712",
            "telephone_number": "206-463-3050",
            "fax_number": "206-463-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 FAUNTLEROY S.W.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361820",
            "telephone_number": "206-463-3050",
            "fax_number": "206-463-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "STEPHEN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00004352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Boes, MSW
• Molly Gretchen Boettcher, LMP
• Herute Bogal
• Alexis Bogan
• Rene Bogan, LMFTA
• Aaron Matthew Bogart, D.O.
• Edwina Helena Bogatski, ND
• Emily Ruth Bogen
• Laura Bogenschutz
• Marin Michelle-Lee Bogert

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.