Active NPI
Gerald R Oncken, PHD, RC
- Counselor
- Lynnwood, WA
National Provider Identifier
1265600274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00017576
- Practice address
- 4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738 - Phone
- (425) 771-1914
- Fax
- (425) 771-0127
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00017576 | WA | Primary |
Addresses
Primary practice location
4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738
Mailing address
4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738
Phone (425) 771-1914
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409764 | Other | WA | VALUE OPTIONS |
| 7788573 | Other | WA | AETNA |
| 305165 | Other | WA | MHN |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00017576 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncken Counseling Services | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1265600274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 198TH ST SW",
"address_2": "SUITE 102",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366738",
"telephone_number": "425-771-1914",
"fax_number": "425-771-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 198TH ST SW",
"address_2": "SUITE 102",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366738",
"telephone_number": "425-771-1914",
"fax_number": "425-771-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONCKEN",
"first_name": "GERALD",
"middle_name": "R",
"credential": "PHD, RC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00017576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "409764",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7788573",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "305165",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.