Individual provider Active NPI

Julie Ann Teuber, MA. LMHCA

  • Mental Health Counselor
  • Monroe, WA
National Provider Identifier
1164010302
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61110045 Issued in WA
Practice address
203 N Blakeley St Ste 101
Monroe, WA 98272-1454
Phone
(360) 535-7887
Fax
(360) 794-6038
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61110045 WA Primary

Addresses

Primary practice location

203 N Blakeley St Ste 101
Monroe, WA 98272-1454

Mailing address

15407 228TH St SE
Snohomish, WA 98296-5454
Phone (425) 280-7131

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
MC61110045WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1164010302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 228TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965454",
            "telephone_number": "425-280-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N BLAKELEY ST STE 101",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721454",
            "telephone_number": "360-535-7887",
            "fax_number": "360-794-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUBER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MA. LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61110045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.