Eunice Kim Setiawan, MA, LMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61505972 Issued in WA

Practice address

6625 Wagner Way Ste 320
Gig Harbor, WA 98335-8392

Phone

(253) 858-7056

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 15, 2024 through Aug 15, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1326768268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WAGNER WAY STE 320",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358392",
            "telephone_number": "253-858-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WAGNER WAY STE 320",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358392",
            "telephone_number": "253-858-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2214 50th Street Ct NW",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983352430",
            "country_code": "US",
            "telephone_number": "850-586-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETIAWAN",
        "first_name": "EUNICE",
        "middle_name": "KIM",
        "credential": "MA, LMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61505972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Seabolt, MA
• Sean Murphy DDS
• Kenneth Jay Seaton Sr., M.S., LMHC, CSAT
• James Martin Seefeldt, DPT
• Diana M Sellers, LMP
• Paul Zamora Seville, M.D.
• Mary Rachael Shannon, AU.D., CCC-A
• Zakaria Ibrahim Sharif, MD
• Deeanne Renee Shaw, LMP
• Melissa Shea, PT

• Mental Health Counselor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.