Individual provider Active NPI

Vanessa Honn, PHD

  • Psychologist
  • Tacoma, WA
National Provider Identifier
1306887625
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2973 Issued in WA
Practice address
615 N 2ND St
Tacoma, WA 98403-2232
Phone
(253) 237-4248
Fax
(253) 201-9904
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2973 WA Primary

Addresses

Primary practice location

615 N 2ND St
Tacoma, WA 98403-2232

Mailing address

2661 N Pearl St Ste 365
Tacoma, WA 98407-2424
Phone (253) 237-4248

Other practice location 1

2661 N Pearl St Ste 365
Tacoma, WA 98407-2424
Phone (253) 237-4248

Other identifiers 1

IdentifierTypeStateIssuer
2973OtherWAWA CLINICAL PSYCHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2973WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC PastSince Aug 26, 2022 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1306887625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 N PEARL ST STE 365",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072424",
            "telephone_number": "253-237-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 2ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032232",
            "telephone_number": "253-237-4248",
            "fax_number": "253-201-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 N Pearl St Ste 365",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984072424",
            "country_code": "US",
            "telephone_number": "253-237-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONN",
        "first_name": "VANESSA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA CLINICAL PSYCHOLOGY",
            "identifier": "2973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.