NPIMap

Organization Active NPI

Janeen Provazek Ma PS

  • Marriage & Family Therapist
  • Gig Harbor, WA
National Provider Identifier
1669575247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001337 Issued in WA
Legal business name
JANEEN PROVAZEK MA PS
Practice address
5800 Soundview Dr
Ste 101-D
Gig Harbor, WA 98335-2077
Phone
(253) 851-6178
Fax
(253) 851-6199
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janeen Provazek, MANPI 1740383322
Title
President and Only Employee
Phone
(253) 851-6178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LF00001337 WA Primary

Addresses

Primary practice location

5800 Soundview Dr
Ste 101-D
Gig Harbor, WA 98335-2077

Mailing address

5800 Soundview Dr
Ste 101-D
Gig Harbor, WA 98335-2077
Phone (253) 851-6178

National Provider Directory

National Provider Directory

Locations

5800 Soundview Dr
Ste D101
Gig Harbor, WA 98335
Phone (253) 851-6178

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669575247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR",
            "address_2": "STE 101-D",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352077",
            "telephone_number": "253-851-6178",
            "fax_number": "253-851-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR",
            "address_2": "STE 101-D",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352077",
            "telephone_number": "253-851-6178",
            "fax_number": "253-851-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANEEN PROVAZEK MA PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVAZEK",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_title_or_position": "PRESIDENT AND ONLY EMPLOYEE",
        "authorized_official_telephone_number": "253-851-6178",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.