McKenna Andersen Lange

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61160689 Issued in WA

Practice address

16000 Bothell Everett Hwy
Mill Creek, WA 98012-1742

Phone

(425) 357-9111

NPI assigned

May 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1952891210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 28TH AVE APT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226242",
            "telephone_number": "630-962-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121742",
            "telephone_number": "425-357-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 156th Ave NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980074344",
            "country_code": "US",
            "telephone_number": "425-460-7125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 N Claremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221702",
            "country_code": "US",
            "telephone_number": "312-633-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MCKENNA",
        "middle_name": "ANDERSEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61160689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Brennan Kwok, DO
• Su Hyon Kwon, PHARM D
• Laboratory Corporation of America
• Michael G Lamarche, DDS
• Rebecca J Lane
• Cindy Lee Larson, RDH
• Theresa Larsson, SLP
• Jennifer Y Lee, MD
• Jong Il Lee, DC
• Sang Won Lee

• Mental Health Counselor in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.