Individual provider Active NPI

Anthony Ifediora Chukwunta

  • Mental Health Counselor
  • Arlington, WA
National Provider Identifier
1750705703
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60250440 Issued in WA
Practice address
3204 Smokey Point Dr Ste 205
Arlington, WA 98223-8476
Phone
(360) 674-0787
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MC60250440 WA Primary

Addresses

Primary practice location

3204 Smokey Point Dr Ste 205
Arlington, WA 98223-8476

Mailing address

4600 Beechwood St Apt 48
Bakersfield, CA 93309-6489
Phone (206) 229-7227

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
MC60250440WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Waters Counseling LLC Mental Health CurrentSince Dec 7, 2025 Accepting new patients

Locations

3204 Smokey Point Dr
Ste 205
Arlington, WA 98223
Phone (360) 674-0787

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1750705703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BEECHWOOD ST APT 48",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096489",
            "telephone_number": "206-229-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 SMOKEY POINT DR STE 205",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238476",
            "telephone_number": "360-674-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUNTA",
        "first_name": "ANTHONY",
        "middle_name": "IFEDIORA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60250440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.