Individual provider Active NPI

Janet Susan Menzies, MSW, LSWAIC, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Everett, WA
National Provider Identifier
1073874152
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP 60132626 Issued in WA
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

Updated by the provider on Jun 5, 2012

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 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

LicenseStateTypeSpecialty
CP 60132626WAMDAddiction (Substance Use Disorder) Counselor
SC 60171206WAMDClinical 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.

Verify at the official NPI Registry.