Individual provider Active NPI

John B Swain, LMHC

  • Mental Health Counselor
  • Anacortes, WA
National Provider Identifier
1154466225
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60229163 Issued in WA
Practice address
1909 Skyline Way
Suite 103
Anacortes, WA 98221-2992
Phone
(360) 873-8662
Fax
(207) 433-1133
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC1087 ME
Mental Health Counselor 101YM0800X LH60229163 WA Primary

Addresses

Primary practice location

1909 Skyline Way
Suite 103
Anacortes, WA 98221-2992

Mailing address

1909 Skyline Way
Suite 103
Anacortes, WA 98221-2992
Phone (360) 873-8662

Other identifiers 1

IdentifierTypeStateIssuer
432503699MedicaidME

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
CC1087MEMDMental Health Counselor
LH60229163WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Katie Eastman, Inc. Past Accepting new patients
Recreate Counseling Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1154466225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 SKYLINE WAY",
            "address_2": "SUITE 103",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212992",
            "telephone_number": "360-873-8662",
            "fax_number": "207-433-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 SKYLINE WAY",
            "address_2": "SUITE 103",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212992",
            "telephone_number": "360-873-8662",
            "fax_number": "207-433-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60229163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432503699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.