Individual provider Active NPI

Joanne Swanson

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1518509892
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11314 4TH Ave W Ste 209
Everett, WA 98204-6926
Phone
(206) 369-1224
NPI assigned
Oct 8, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 Primary
Social Worker 104100000X 60993300 WA

Addresses

Primary practice location

11314 4TH Ave W Ste 209
Everett, WA 98204-6926

Mailing address

12721 NE 170TH LN
Woodinville, WA 98072-7945
Phone (425) 275-1958

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Everett
Other URL Everett

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
60993300WAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1518509892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 NE 170TH LN",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727945",
            "telephone_number": "425-275-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 4TH AVE W STE 209",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046926",
            "telephone_number": "206-369-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60993300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Everett",
            "affiliation": "Y",
            "address_1": "11314 4th Ave W Ste 209",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982046926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Everett",
            "affiliation": "Y",
            "address_1": "11314 4th Ave W Ste 209",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982046926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 27, 2023; 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.