Individual provider Active NPI

Stephenie K Hansen-del Rio, LMHC

  • Mental Health Counselor
  • Renton, WA
National Provider Identifier
1629353040
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60476181 Issued in WA
Practice address
1412 SW 43Rd St Ste 240
Renton, WA 98057-4803
Phone
(206) 226-0862
Fax
(425) 272-2717
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60476181 WA Primary

Addresses

Primary practice location

1412 SW 43Rd St Ste 240
Renton, WA 98057-4803

Mailing address

1412 SW 43Rd St
Suite 111
Renton, WA 98057-4803
Phone (206) 229-5025

Other practice location 1

5414 Barnes Ave NW Ste 1
Seattle, WA 98107-3839
Phone (206) 226-0862

Other names 1

  • Stephenie K Hansen Former name

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
LH60476181WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Valley Counseling, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1629353040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST",
            "address_2": "SUITE 111",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "206-229-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 240",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "206-226-0862",
            "fax_number": "425-272-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 Barnes Ave NW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073839",
            "country_code": "US",
            "telephone_number": "206-226-0862",
            "fax_number": "425-272-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN-DEL RIO",
        "first_name": "STEPHENIE",
        "middle_name": "K",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60476181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHENIE",
            "last_name": "HANSEN",
            "middle_name": "K",
            "credential": "LMHC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.