Active NPI
Junae Lynette Ilimaleota, MA
- Mental Health Counselor
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3322 Broadway # Ms 68
Everett, WA 98201-4425 - Phone
- (425) 349-6100
- Fax
- (425) 349-6101
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | WA | Primary |
Addresses
Primary practice location
3322 Broadway # Ms 68
Everett, WA 98201-4425
Mailing address
3322 Broadway # Ms 68
Everett, WA 98201-4425
Phone (425) 349-6100
Other practice location 1
9330 59th Ave SW
Lakewood, WA 98499-2858
Phone (253) 620-5015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116065 | Medicaid | WA |
Other names 1
- Ms. Junae Lynette Draper
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
Organizations & group practices 2
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": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1437430972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 BROADWAY # MS 68",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014425",
"telephone_number": "425-349-6100",
"fax_number": "425-349-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 BROADWAY # MS 68",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014425",
"telephone_number": "425-349-6100",
"fax_number": "425-349-6101"
}
],
"practiceLocations": [
{
"address_1": "9330 59th Ave SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984992858",
"country_code": "US",
"telephone_number": "253-620-5015",
"fax_number": "253-620-5831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILIMALEOTA",
"first_name": "JUNAE",
"middle_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2116065",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUNAE",
"last_name": "DRAPER",
"middle_name": "LYNETTE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.