Active NPI
Venita Lynn
- Counselor
- Port Angeles, WA
National Provider Identifier
1558899633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CL60160349
- Practice address
- 323 E 6TH St
Port Angeles, WA 98362-6203 - Phone
- (360) 457-8355
- Fax
- (360) 457-3820
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CL60160349 | WA | Primary |
Addresses
Primary practice location
323 E 6TH St
Port Angeles, WA 98362-6203
Mailing address
215 Klahanne Ridge Dr
Port Angeles, WA 98362-8226
Phone (360) 670-8699
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
| License | State | Type | Specialty |
|---|---|---|---|
| CL60160349 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1558899633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 KLAHANNE RIDGE DR",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983628226",
"telephone_number": "360-670-8699",
"fax_number": "360-457-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E 6TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626203",
"telephone_number": "360-457-8355",
"fax_number": "360-457-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "VENITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "WA",
"license": "CL60160349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.