Active NPI
Aladi Justina Egbunu, LMHCA
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1619718574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61514093
- Practice address
- 3436 Mary Elder Rd NE
Olympia, WA 98506-5050 - Phone
- (360) 528-2590
- NPI assigned
- Jun 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MC61514093 | WA | Primary |
Addresses
Primary practice location
3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Mailing address
22870 SE Fir St Apt H202
Black Diamond, WA 98010-5144
Phone (251) 554-9783
Other practice location 1
4244 Auburn Way N
Auburn, WA 98002-1311
Phone (206) 901-2000
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 |
|---|---|---|---|
| MC61514093 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1619718574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22870 SE FIR ST APT H202",
"city": "BLACK DIAMOND",
"state": "WA",
"postal_code": "980105144",
"telephone_number": "251-554-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 MARY ELDER RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065050",
"telephone_number": "360-528-2590"
}
],
"practiceLocations": [
{
"address_1": "4244 Auburn Way N",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980021311",
"country_code": "US",
"telephone_number": "206-901-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGBUNU",
"first_name": "ALADI",
"middle_name": "JUSTINA",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61514093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.