Individual provider Active NPI

Jennifer Ann Schantz, LMHCA

  • Mental Health Counselor
  • Bonney Lake, WA
National Provider Identifier
1285205500
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61089332 Issued in WA
Practice address
11405 170TH Ave E
Bonney Lake, WA 98391-8179
Phone
(253) 987-5689
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 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 MC61089332 WA Primary

Addresses

Primary practice location

11405 170TH Ave E
Bonney Lake, WA 98391-8179

Mailing address

11405 170TH Ave E
Bonney Lake, WA 98391-8179
Phone (253) 987-5689

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
MC61089332WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1285205500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 170TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918179",
            "telephone_number": "253-987-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 170TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918179",
            "telephone_number": "253-987-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANTZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61089332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.