Individual provider Active NPI

Anya Szumowski, M.A.

  • Professional Counselor
  • White Salmon, WA
National Provider Identifier
1326419896
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5247 Issued in OR
Practice address
107 W. Jewett Blvd.
White Salmon, WA 98672
Phone
(541) 716-1875
NPI assigned
Oct 9, 2015
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LH60744645 WA
Professional Counselor 101YP2500X C5247 OR Primary

Addresses

Primary practice location

107 W. Jewett Blvd.
White Salmon, WA 98672

Mailing address

107 W. Jewett Blvd.
White Salmon, WA 98672
Phone (541) 716-1875

Other practice location 1

1601 E 4th Plain Blvd
Vancouver, WA 98661-3753
Phone (360) 397-8246 ext. 7531

Other practice location 2

16 Oak St Ste 203
Hood River, OR 97031-2395
Phone (541) 716-1875

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
C5247ORMDProfessional Counselor
LH60744645WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Psychotherapy Mental Health CurrentSince Aug 27, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1326419896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W. JEWETT BLVD.",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "541-716-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W. JEWETT BLVD.",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "541-716-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 4th Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986613753",
            "country_code": "US",
            "telephone_number": "360-397-8246 x7531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Oak St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970312395",
            "country_code": "US",
            "telephone_number": "541-716-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZUMOWSKI",
        "first_name": "ANYA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60744645",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

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