Active NPI
Stephanie Gonia
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1053731174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60623174
- Practice address
- 3250 Airport Way S # 424
Seattle, WA 98134-2167 - Phone
- (206) 954-8947
- NPI assigned
- Apr 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | LH60623174 | WA | Primary |
Addresses
Primary practice location
3250 Airport Way S # 424
Seattle, WA 98134-2167
Mailing address
PO Box 2569
Everett, WA 98213-0569
Other practice location 1
811 Madison St
Everett, WA 98203-4543
Phone (425) 212-4200
Other names 1
- Stephanie Oswald
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 206-456-1893 | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60623174 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1053731174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2569",
"city": "EVERETT",
"state": "WA",
"postal_code": "982130569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 AIRPORT WAY S # 424",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342167",
"telephone_number": "206-954-8947"
}
],
"practiceLocations": [
{
"address_1": "811 Madison St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982034543",
"country_code": "US",
"telephone_number": "425-212-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONIA",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60623174",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "206-456-1893",
"affiliation": "N",
"endpointDescription": "Fax number",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3250 Airport Way S # 424",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981342167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "OSWALD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.