Active NPI
Michelle Renee Meaney
- Mental Health Counselor
- Stanwood, WA
National Provider Identifier
1972032225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60894225
- Practice address
- 6501 Jensen Rd
Stanwood, WA 98292-9817 - Phone
- (360) 630-0462
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- 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 | |||
| Mental Health Counselor | 101YM0800X | MC60894225 | WA | Primary |
Addresses
Primary practice location
6501 Jensen Rd
Stanwood, WA 98292-9817
Mailing address
6501 Jensen Rd
Stanwood, WA 98292-9817
Phone (360) 630-0462
Other practice location 1
1121 SE Dock St
Oak Harbor, WA 98277-4067
Phone (360) 682-5016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60894225 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clallam County Public Hospital District No 1 | Past | Accepting new patients | |
| Bayshore Chiro PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/forkshospital/r4/
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.
-
- Chiropractor
- Oak Harbor, WA
- NPI 1508630740
-
- Rural Health Clinic/Center
- Clallam Bay, WA
- NPI 1235213034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1972032225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 JENSEN RD",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982929817",
"telephone_number": "360-630-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 JENSEN RD",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982929817",
"telephone_number": "360-630-0462"
}
],
"practiceLocations": [
{
"address_1": "1121 SE Dock St",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982774067",
"country_code": "US",
"telephone_number": "360-682-5016",
"fax_number": "360-682-6572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEANEY",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60894225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.