Individual provider Active NPI

Megan Elizabeth Stonelake, M.A.

  • Mental Health Counselor
  • Blaine, WA
National Provider Identifier
1699950832
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61298163 Issued in WA
Practice address
288 Martin St # 4
Blaine, WA 98230-4045
Phone
(360) 592-3723
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6220 OR
Mental Health Counselor 101YM0800X LH61298163 WA Primary

Addresses

Primary practice location

288 Martin St # 4
Blaine, WA 98230-4045

Mailing address

288 Martin St # 4
Blaine, WA 98230-4045
Phone (360) 592-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 21, 2024 through May 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C6220ORMDMental Health Counselor
LH61298163WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica del Valle Family Health Care Center Inc. PastSince Jun 1, 2020 Accepting new patients
La Clinica del Valle Family Health Care Center Inc. PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1699950832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MARTIN ST # 4",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304045",
            "telephone_number": "360-592-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MARTIN ST # 4",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304045",
            "telephone_number": "360-592-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONELAKE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6220",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61298163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

Verify at the official NPI Registry.