Active NPI
Janet Susan Menzies, MSW, LSWAIC, CDP
- Addiction (Substance Use Disorder) Counselor
- Everett, WA
National Provider Identifier
1073874152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP 60132626
- Practice address
- 9930 Evergreen Way
Suite Z150
Everett, WA 98204-3883 - Phone
- (425) 347-5121
- Fax
- (425) 353-6425
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP 60132626 | WA | Primary |
| Clinical Social Worker | 1041C0700X | SC 60171206 | WA |
Addresses
Primary practice location
9930 Evergreen Way
Suite Z150
Everett, WA 98204-3883
Mailing address
9930 Evergreen Way
Suite Z150
Everett, WA 98204-3883
Phone (425) 347-5121
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 |
|---|---|---|---|
| CP 60132626 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| SC 60171206 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1073874152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 EVERGREEN WAY",
"address_2": "SUITE Z150",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043883",
"telephone_number": "425-347-5121",
"fax_number": "425-353-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 EVERGREEN WAY",
"address_2": "SUITE Z150",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043883",
"telephone_number": "425-347-5121",
"fax_number": "425-353-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENZIES",
"first_name": "JANET",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "MSW, LSWAIC, CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP 60132626",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC 60171206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.