Janeen Provazek, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001337 Issued in WA

Practice address

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

Phone

(253) 851-6178

Fax

(253) 851-6199

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Janeen Provazek Ma PS

  • Marriage & Family Therapist
  • Gig Harbor, WA
  • NPI 1669575247
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740383322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SOUND VIEW 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 SOUND VIEW 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": {
        "last_name": "PROVAZEK",
        "first_name": "JANEEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Sport and Spine PLLC
• Pro Sport Orthopedics, LLC
• Pro Sport Physical Therapy, LLC
• Proliance Surgeons, Inc., P.S. (Proliance Puget Sound Orthopaedics)
• Nicholas Propp
• Benjamin Pruden, DC
• Prudy Medical
• Psycare Inc
• Psycare Inc
• Puget Sound Vision Care PC

• Marriage & Family Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.