Active NPI
Dennis Gunderson, MA, LMHC
- Mental Health Counselor
- Shoreline, WA
National Provider Identifier
1508292434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00010364
- Practice address
- 19930 Ballinger Way NE
Shoreline, WA 98155-1223 - Phone
- (425) 778-2220
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- 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 | LH 00010364 | WA | Primary |
Addresses
Primary practice location
19930 Ballinger Way NE
Shoreline, WA 98155-1223
Mailing address
19930 Ballinger Way NE
Shoreline, WA 98155-1223
Phone (425) 778-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00010364 | Other | WA | LICENSE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 00010364 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1508292434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19930 BALLINGER WAY NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551223",
"telephone_number": "425-778-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19930 BALLINGER WAY NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551223",
"telephone_number": "425-778-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "DENNIS",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00010364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LH00010364",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.