NPIMap

Organization Active NPI

Renton Counseling Center, PLLC

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1144735911
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011247 Issued in WA
Legal business name
RENTON COUNSELING CENTER, PLLC
Practice address
15 S Grady Way Ste 500
Renton, WA 98057-3217
Phone
(425) 444-5902
NPI assigned
Dec 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Vera P Dragonchuk, LMHCNPI 1386779676
Title
Owner
Phone
(425) 444-5902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00011247 WA Primary

Addresses

Primary practice location

15 S Grady Way Ste 500
Renton, WA 98057-3217

Mailing address

15 S Grady Way Ste 500
Renton, WA 98057-3217
Phone (425) 444-5902

Other names 1

  • Vera Dragonchuk Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001703 WA Part B Supplier - Clinic/Group Practice 6901340298 Receives reassigned benefits from 7 practitioners
Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Locations

15 S Grady Way
Ste 500
Renton, WA 98057
Phone (425) 444-5902

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1144735911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 500",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573217",
            "telephone_number": "425-444-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GRADY WAY STE 500",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573217",
            "telephone_number": "425-444-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "DRAGONCHUK",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-444-5902",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vera Dragonchuk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.