Individual provider Active NPI

Joan S Simon Oncken, LMFT

  • Marriage & Family Therapist
  • Lynnwood, WA
National Provider Identifier
1720256183
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00000836 Issued in WA
Practice address
4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738
Phone
(425) 771-1914
Fax
(425) 771-0127
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00000836 WA Primary

Addresses

Primary practice location

4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738

Mailing address

4215 198TH St SW
Suite 102
Lynnwood, WA 98036-6738
Phone (425) 771-1914

Other identifiers 4

IdentifierTypeStateIssuer
243165OtherWAMHN
253936OtherWAVALUE OPTIONS
5777726OtherWAAETNA
ON4514OtherWAREGENCE

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
LF00000836WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oncken Counseling Services Marriage & Family Therapist 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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1720256183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW",
            "address_2": "SUITE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-771-1914",
            "fax_number": "425-771-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW",
            "address_2": "SUITE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-771-1914",
            "fax_number": "425-771-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON ONCKEN",
        "first_name": "JOAN",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "243165",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "253936",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5777726",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "ON4514",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.