Active NPI
Vera P Dragonchuk, M.A.
- Mental Health Counselor
- Renton, WA
National Provider Identifier
1386779676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011247
- Practice address
- 15 S Grady Way Ste 500
Renton, WA 98057-3217 - Phone
- (425) 444-5902
- Fax
- (866) 304-4638
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00011247 | WA | Primary |
Addresses
Primary practice location
15 S Grady Way Ste 500
Renton, WA 98057-3217
Mailing address
15 S Grady Way Ste 500
Renton, WA 98057-3217
Phone (425) 444-5902
Other names 1
- Vera P Dragonchuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 S Grady Way
Suite 500
Renton, WA 98057-3217
Phone (425) 444-5902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011247 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renton Counseling Center, PLLC | Mental Health | Current | Accepting new patients |
Locations
15 S Grady Way
Ste 500
Renton, WA 98057
Phone (425) 444-5902
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.
-
dba Vera Dragonchuk
- Mental Health Counselor
- Renton, WA
- NPI 1144735911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1386779676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980573217",
"telephone_number": "425-444-5902",
"fax_number": "866-304-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980573217",
"telephone_number": "425-444-5902",
"fax_number": "866-304-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGONCHUK",
"first_name": "VERA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERA",
"last_name": "DRAGONCHUK",
"middle_name": "P",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Renton, WA
- Dr Kremer Enterprise PLLC Dba Highlands Chiropractic (Highlands Chiropractic)
- Dr Montel R Jenkins DMD PS
- Dr. Crowell, Dr. Nguyen & Associates, PLLC (Eyes on Sunset)
- Dr. Mark McDaniels
- Dr. Michelle G. Chang DMD PLLC
- Kirby A Drawbaugh, RPH
- Michelle Drones, ARNP
- Jessica Mt Dubose, MSW, LICSW
- Shannon Duffy, APRN
- Wendy Nadia Duffy, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.