Individual provider Active NPI

Vera P Dragonchuk, M.A.

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1386779676
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011247 Issued in WA
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

Updated by the provider on Apr 24, 2024

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001755 WA Practitioner - Mental Health Counselor 7719421007 Reassigns benefits to 1 organization

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
Renton Counseling Center PLLCGroup PAC ID 6901340298, 6 clinicians

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

LicenseStateTypeSpecialty
LH00011247WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renton Counseling Center, PLLC Mental Health CurrentSince May 13, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.