Individual provider Active NPI

Michelle Renee Meaney

  • Mental Health Counselor
  • Stanwood, WA
National Provider Identifier
1972032225
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60894225 Issued in WA
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

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60894225WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clallam County Public Hospital District No 1 PastSince Feb 12, 2024 Accepting new patients
Bayshore Chiro PC PastSince Nov 1, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.