Active NPI
Michelle Lea Vanaken, LMHC
- Professional Counselor
- Fircrest, WA
National Provider Identifier
1780716555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH00007429
- Practice address
- 6314 19TH St W Ste 7
Fircrest, WA 98466-6223 - Phone
- (253) 848-2805
- Fax
- (253) 435-5980
- NPI assigned
- Mar 9, 2007
- Last updated
- Oct 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC12246 | CA | |
| Professional Counselor | 101YP2500X | LH00007429 | WA | Primary |
Addresses
Primary practice location
6314 19TH St W Ste 7
Fircrest, WA 98466-6223
Mailing address
6314 19TH St W Ste 7
Fircrest, WA 98466-6223
Phone (253) 848-2805
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 |
|---|---|---|---|
| LPCC12246 | CA | MD | Professional Counselor |
| LH00007429 | WA | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fircrest, WA
- NPI 1659453272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1780716555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 19TH ST W STE 7",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666223",
"telephone_number": "253-848-2805",
"fax_number": "253-435-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 19TH ST W STE 7",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666223",
"telephone_number": "253-848-2805",
"fax_number": "253-435-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANAKEN",
"first_name": "MICHELLE",
"middle_name": "LEA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2023-10-02",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC12246",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH00007429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fircrest, WA
- Summer Lynn Stullick, MS, MHP, LMHCA
- Tamara Leigh Taylor, PHD
- The Good Life Institute, LLC
- Nicole Kimberly Tjakralaksana
- University Place Pediatric Clinic P S
- Christina Marie Vancamp, LMP
- Wakeland Chiropractic Center Inc PS
- Robert Warren Wakeland, BA DC
- Jason Wang, C.A., DIPL. AC.
- Gregory T Wellman, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.