Individual provider Active NPI

Justin Monuteaux, MA, LMHCA

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1326388059
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC 60311483 Issued in WA
Practice address
10803 SE Kent Kangley Rd Ste 207
Monuteaux
Kent, WA 98030-7194
Phone
(206) 304-7678
NPI assigned
Feb 16, 2013
Last updated
Feb 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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 MC 60311483 WA Primary

Addresses

Primary practice location

10803 SE Kent Kangley Rd Ste 207
Monuteaux
Kent, WA 98030-7194

Mailing address

PO Box 574
Maple Valley, WA 98038-0574
Phone (206) 304-7678

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC 60311483WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1326388059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380574",
            "telephone_number": "206-304-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 SE KENT KANGLEY RD STE 207",
            "address_2": "MONUTEAUX",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307194",
            "telephone_number": "206-304-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONUTEAUX",
        "first_name": "JUSTIN",
        "credential": "MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60311483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; 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.