Individual provider Active NPI

Valerie Joanne Engel, CHEMICAL DEPENDENCY

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1053646026
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60907534 Issued in WA
Practice address
200 S Union St Apt 2B
Kennewick, WA 99336-2275
Phone
(509) 491-1072
NPI assigned
Oct 8, 2009
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60286094 WA
Mental Health Counselor 101YM0800X MC60907534 WA Primary

Addresses

Primary practice location

200 S Union St Apt 2B
Kennewick, WA 99336-2275

Mailing address

200 S Union St Apt 2B
Kennewick, WA 99336-2275
Phone (509) 491-1072

Other identifiers 1

IdentifierTypeStateIssuer
2094197MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231219003425 CO Practitioner - Mental Health Counselor 2062862840
I20240617002630 WA Practitioner - Mental Health Counselor 2062862840 Practice locations: Kennewick, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 S Auburn St
Kennewick, WA 99336-5661
Phone (509) 396-9565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60286094WAMDAddiction (Substance Use Disorder) Counselor
MC60907534WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1053646026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S UNION ST APT 2B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362275",
            "telephone_number": "509-491-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S UNION ST APT 2B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362275",
            "telephone_number": "509-491-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "VALERIE",
        "middle_name": "JOANNE",
        "credential": "CHEMICAL DEPENDENCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60286094",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60907534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094197",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.