Active NPI
Breeanna Slusher, MC61356639
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1760104939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61356639
- Practice address
- 615 E Pioneer Ste 204
Puyallup, WA 98372-3320 - Phone
- (253) 848-3891
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61356639 | WA | Primary |
Addresses
Primary practice location
615 E Pioneer Ste 204
Puyallup, WA 98372-3320
Mailing address
2014 201St St E
Spanaway, WA 98387-4110
Phone (417) 771-1936
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61356639 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy and Wellness Center PLLC | Mental Health | Current | Accepting new patients |
Locations
615 E Pioneer
Ste 204
Puyallup, WA 98372
Phone (253) 848-3891
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": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1760104939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 201ST ST E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983874110",
"telephone_number": "417-771-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PIONEER STE 204",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723320",
"telephone_number": "253-848-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUSHER",
"first_name": "BREEANNA",
"credential": "MC61356639",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61356639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.