Individual provider Active NPI

Phinehas K Nganga, LMHCA

  • Mental Health Counselor
  • Saint John, WA
National Provider Identifier
1306775374
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61644697 Issued in WA
Practice address
409 S Jennings Ave
Saint John, WA 99171-9680
Phone
(509) 994-8921
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 61644697 WA Primary

Addresses

Primary practice location

409 S Jennings Ave
Saint John, WA 99171-9680

Mailing address

409 S Jennings Ave
Saint John, WA 99171-9680
Phone (509) 994-8921

Other practice location 1

102 S Bryant Blvd
Saint John, WA 99171-8810
Phone (509) 648-4214

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
61644697WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1306775374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S JENNINGS AVE",
            "city": "SAINT JOHN",
            "state": "WA",
            "postal_code": "991719680",
            "telephone_number": "509-994-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S JENNINGS AVE",
            "city": "SAINT JOHN",
            "state": "WA",
            "postal_code": "991719680",
            "telephone_number": "509-994-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Bryant Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "WA",
            "postal_code": "991718810",
            "country_code": "US",
            "telephone_number": "509-648-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGANGA",
        "first_name": "PHINEHAS",
        "middle_name": "K",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61644697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.