Individual provider Active NPI

Annalise Ofelia Senofsky, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, WA
National Provider Identifier
1407611999
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61564071 Issued in WA
Practice address
2204 Pacific Ave N
Long Beach, WA 98631-3300
Phone
(360) 642-1378
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61564071 WA Primary

Addresses

Primary practice location

2204 Pacific Ave N
Long Beach, WA 98631-3300

Mailing address

2204 Pacific Ave N
Long Beach, WA 98631-3300

Other practice location 1

2204 Pacific Ave N
Long Beach, WA 98631-3300
Phone (360) 642-3787

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730002020 WA Practitioner - Nurse Practitioner 0749727501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willapa Counseling CenterGroup PAC ID 4587552831, 11 clinicians

Practice addresses (Care Compare)

2204 Pacific Ave N
Long Beach, WA 98631-3300
Phone (360) 642-3878

Hospital & facility affiliations

  • Ocean Beach Hospital Hospital, Ilwaco, WA, CCN 501314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willapa Counseling Center CurrentSince Jul 1, 2024 Accepting new patients

Locations

2204 Pacific Ave N
Long Beach, WA 98631
Phone (360) 642-3787

338 W Pioneer Ave
Montesano, WA 98563
Phone (360) 515-7342

300 Ocean Ave
Raymond, WA 98577
Phone (360) 942-2303

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1407611999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PACIFIC AVE N",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PACIFIC AVE N",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313300",
            "telephone_number": "360-642-1378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Pacific Ave N",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "WA",
            "postal_code": "986313300",
            "country_code": "US",
            "telephone_number": "360-642-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENOFSKY",
        "first_name": "ANNALISE",
        "middle_name": "OFELIA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61564071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, WA

Sources for this page

Verify at the official NPI Registry.