Chan M Min

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60908127 Issued in WA

Practice address

2505 Sulwhanon Dr
Everson, WA 98247

Phone

(360) 966-2106

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jan 24, 2019.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1972067932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "DEMING",
            "state": "WA",
            "postal_code": "982440157",
            "fax_number": "360-922-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SULWHANON DR",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "98247",
            "telephone_number": "360-966-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "CHAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60908127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Majumdar, M.S. LMHC, NCC
• Deborah Ann Manookin
• Tara Hope McErleane-Parra
• Hanna Lynn McNulty
• Jonathan David Miller, D.C.
• Sharon Anne Missiaen, PHD
• Jenna Marie Moore
• Randall Moore
• Jamie Melinda Morecombe
• Sarah Gladys Morgan-Dow, LMP

• All providers in Everson, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.