Organization Active NPI

Circle in a Square Counseling, LLC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1821351271
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60002272 Issued in WA
Legal business name
CIRCLE IN A SQUARE COUNSELING, LLC
Practice address
677 Woodland Square Loop SE
Lacey, WA 98503-1000
Phone
(253) 905-0474
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Juanita Elizabeth Evans, MA, LMHCNPI 1083894869
Title
Therapist/Owner
Phone
(253) 905-0474

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 60002272 WA Primary

Addresses

Primary practice location

677 Woodland Square Loop SE
Lacey, WA 98503-1000

Mailing address

677 Woodland Square Loop SE
Lacey, WA 98503-1000
Phone (253) 905-0474

National Provider Directory

National Provider Directory

Locations

677 Woodland Square Loop SE
Olympia, WA 98503
Phone (206) 305-9980

4109 Bridgeport Way W
Ste E
University Place, WA 98466

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1821351271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "253-905-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "253-905-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE IN A SQUARE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "253-905-0474",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60002272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.