Individual provider Active NPI

Tania E Winstead

  • Mental Health Counselor
  • Graham, WA
National Provider Identifier
1477256402
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61522573 Issued in WA
Practice address
26812 118TH Ave E
Graham, WA 98338
Phone
(844) 623-9675
Fax
(888) 977-1564
NPI assigned
Mar 27, 2023
Last updated
Jan 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61522573 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X WA

Addresses

Primary practice location

26812 118TH Ave E
Graham, WA 98338

Mailing address

26812 118TH Ave E
Graham, WA 98338
Phone (844) 623-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61522573WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Ocd Anxiety Group Mental Health PastSince Sep 8, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1477256402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26812 118TH AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "98338",
            "telephone_number": "844-623-9675",
            "fax_number": "888-977-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26812 118TH AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "98338",
            "telephone_number": "844-623-9675",
            "fax_number": "888-977-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "TANIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61522573",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.