Individual provider Active NPI

Bonnie McKenney, M.S., LMHC

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1285036368
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60665876 Issued in WA
Practice address
5262 Olympic Dr NW
Suite a
Gig Harbor, WA 98335-1795
Phone
(253) 691-5900
Fax
(253) 358-3630
NPI assigned
Sep 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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 LH60665876 WA Primary

Addresses

Primary practice location

5262 Olympic Dr NW
Suite a
Gig Harbor, WA 98335-1795

Mailing address

5262 Olympic Dr NW
Suite a
Gig Harbor, WA 98335-1795
Phone (253) 691-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 28, 2024 through Mar 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60665876WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1285036368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 OLYMPIC DR NW",
            "address_2": "SUITE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351795",
            "telephone_number": "253-691-5900",
            "fax_number": "253-358-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 OLYMPIC DR NW",
            "address_2": "SUITE A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351795",
            "telephone_number": "253-691-5900",
            "fax_number": "253-358-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "BONNIE",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-20",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60665876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.