NPIMap

Organization Active NPI

Northwest Therapy Group PLLC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1497372460
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NORTHWEST THERAPY GROUP PLLC
Practice address
8284 28TH CT NE Ste a
Lacey, WA 98516-7161
Phone
(360) 915-3221
Fax
(360) 890-4099
NPI assigned
Jun 25, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Dione Laguana, LMHC
Title
Co-Founder
Phone
(360) 402-1962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8284 28TH CT NE Ste a
Lacey, WA 98516-7161

Mailing address

8284 28TH CT NE Ste a
Lacey, WA 98516-7161
Phone (360) 915-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220002770 WA Part B Supplier - Clinic/Group Practice 1850735614 Receives reassigned benefits from 16 practitioners
Practice locations: Tumwater, WA; Lacey, WA; Port Orchard, WA; Olympia, WA

National Provider Directory

National Provider Directory

Locations

418 Carpenter Rd SE
Ste 104
Lacey, WA 98503
Phone (360) 742-7187

921 Lakeridge Way SW
Ste 200
Olympia, WA 98502
Phone (360) 915-3221

813 Division St
Port Orchard, WA 98366
Phone (360) 890-4099

6945 Littlerock Rd SW
Ste A
Tumwater, WA 98512
Phone (360) 915-3221

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1497372460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167161",
            "telephone_number": "360-915-3221",
            "fax_number": "360-890-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167161",
            "telephone_number": "360-915-3221",
            "fax_number": "360-890-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "LAGUANA",
        "authorized_official_first_name": "DIONE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "360-402-1962",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.