Individual provider Active NPI

Nancy Huenefeld Gese, PHD

  • Counseling Psychologist
  • Bellevue, WA
National Provider Identifier
1780672857
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY00002345 Issued in WA
Practice address
4315 Factoria Blvd SE
Ste B
Bellevue, WA 98006-1930
Phone
(425) 495-2609
Fax
(425) 458-9059
NPI assigned
Oct 12, 2005
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY00002345 WA Primary

Addresses

Primary practice location

4315 Factoria Blvd SE
Ste B
Bellevue, WA 98006-1930

Mailing address

PO Box 1974
Bellevue, WA 98009-1974
Phone (425) 495-2609

Other names 1

  • Dr. Nancy Huenefeld Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000377 WA Practitioner - Clinical Psychologist 1052452737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1780672857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091974",
            "telephone_number": "425-495-2609",
            "fax_number": "425-458-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 FACTORIA BLVD SE",
            "address_2": "STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061930",
            "telephone_number": "425-495-2609",
            "fax_number": "425-458-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENEFELD GESE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00002345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HUENEFELD",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.