Individual provider Active NPI

Tanya Nunez

  • Mental Health Counselor
  • Moses Lake, WA
National Provider Identifier
1629475959
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60518573 Issued in WA
Practice address
840 E Plum St
Moses Lake, WA 98837-1874
Phone
(509) 765-9239
Fax
(509) 765-4124
NPI assigned
Dec 2, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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 CG60518573 WA Primary

Addresses

Primary practice location

840 E Plum St
Moses Lake, WA 98837-1874

Mailing address

840 E Plum St
Moses Lake, WA 98837-1874
Phone (509) 765-9239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000601 WA Practitioner - Clinical Social Worker 2668882093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60518573WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Health District CurrentSince Oct 29, 2020 Accepting new patients
County of Grant Mental Health CurrentSince Oct 29, 2020 Accepting new patients
Cityview Past Accepting new patients

Locations

840 E Plum St
Moses Lake, WA 98837
Phone (509) 764-2011

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1629475959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E PLUM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371874",
            "telephone_number": "509-765-9239",
            "fax_number": "509-765-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E PLUM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371874",
            "telephone_number": "509-765-9239",
            "fax_number": "509-765-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60518573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.