NPIMap

Organization Active NPI

MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1740727494
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010790 Issued in WA
Legal business name
MCS COUNSELING GROUP LLC
Practice address
3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847
Phone
(360) 698-5883
Fax
(360) 809-6002
NPI assigned
Jan 19, 2017
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Julie Canterbury, LMHCNPI 1982035176
Title
Owner
Phone
(360) 698-5883

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00010790 WA Primary

Addresses

Primary practice location

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847

Mailing address

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847
Phone (360) 698-5883

Other practice location 1

260 Kala Point Dr Ste 102
Port Townsend, WA 98368-9530
Phone (360) 698-5883

Other identifiers 1

IdentifierTypeStateIssuer
2080351MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115001254 WA Part B Supplier - Clinic/Group Practice 8224485131 Receives reassigned benefits from 12 practitioners
Practice locations: Port Townsend, WA; Silverdale, WA

National Provider Directory

National Provider Directory

Locations

260 Kala Point Dr
#102
Port Townsend, WA 98368
Phone (360) 385-9800

3888 NW Randall Way
Ste 201
Silverdale, WA 98383
Phone (360) 698-5883

9633 Levin Rd NW
Ste 100
Silverdale, WA 98383
Phone (360) 698-0315

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1740727494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Kala Point Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983689530",
            "country_code": "US",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCS COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-698-5883",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080351",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.