Active NPI
Juneaux Sebastian Wilde, M.ED., LMHC, LPC
- Mental Health Counselor
- Port Townsend, WA
National Provider Identifier
1861007916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61320033
- Practice address
- 282084 US Highway 101
Port Townsend, WA 98368-9331 - Phone
- (360) 320-6683
- NPI assigned
- Sep 14, 2020
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61320033 | WA | Primary |
| Mental Health Counselor | 101YM0800X | 7756 | ID |
Addresses
Primary practice location
282084 US Highway 101
Port Townsend, WA 98368-9331
Mailing address
1791 E Avenida de Las Flores
Thousand Oaks, CA 91362-1522
Phone (360) 320-6683
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7756 | ID | MD | Mental Health Counselor |
| 61320033 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1861007916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 E AVENIDA DE LAS FLORES",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913621522",
"telephone_number": "360-320-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282084 US HIGHWAY 101",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983689331",
"telephone_number": "360-320-6683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDE",
"first_name": "JUNEAUX",
"middle_name": "SEBASTIAN",
"credential": "M.ED., LMHC, LPC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2020-09-14",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61320033",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "7756",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.