Individual provider Active NPI

June Theresa Tanner

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1952450835
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61411893 Issued in WA
Practice address
5411 NE 107TH Ave
Vancouver, WA 98662-6347
Phone
(608) 287-8713
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61411893 WA Primary

Addresses

Primary practice location

5411 NE 107TH Ave
Vancouver, WA 98662-6347

Mailing address

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254

Other names 1

  • Miss June Theresa Santerineross Former 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
I20240809001034 WA Practitioner - Mental Health Counselor 6204373194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage NW Consulting LLCGroup PAC ID 8628511102, 3 clinicians

Practice addresses (Care Compare)

5411 NE 107TH Ave
Suite 101
Vancouver, WA 98662-6347
Phone (360) 828-7871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61411893WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage NW Consulting LLC Counselor CurrentSince Jan 11, 2025 Accepting new patients
Columbia River Mental Health Services CurrentSince Jul 5, 2024 Accepting new patients

Locations

5411 NE 107th Ave
Ste 101
Vancouver, WA 98662
Phone (360) 828-7871

6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 695-3416

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1952450835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 NE 107TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "608-287-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JUNE",
        "middle_name": "THERESA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61411893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNE",
            "last_name": "SANTERINEROSS",
            "middle_name": "THERESA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.