Anjali Tavernier

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61644578 Issued in WA

Practice address

4122 Factoria Blvd SE Ste 405
Bellevue, WA 98006-5259

Phone

(425) 590-9419

NPI assigned

Jan 18, 2023

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1336854827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 230TH LN SE APT W302",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980756208",
            "telephone_number": "425-691-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 405",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-590-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Front St N",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272914",
            "country_code": "US",
            "telephone_number": "425-392-6367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVERNIER",
        "first_name": "ANJALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61644578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Tasche, RDH, MSDH
• Sonya Tat, MD
• Skyler P. Tateishi, DPT
• Audrey Karen Tatt, DDS
• Kasih Deneb Tatum, DPT
• Geraldine Tay
• Preety Taya
• Christina Katherine Taylor, SUDP
• Jami Taylor, ARNP
• Jennifer Taylor

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, 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 6, 2025; 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.