Individual provider Active NPI

Tanya Chrystal Atkinson, MSW, SWAICL, MHCA

  • Mental Health Counselor
  • Mill Creek, WA
National Provider Identifier
1972152056
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61389055 Issued in WA
Practice address
15833 Mill Creek Blvd Unit 13068
Mill Creek, WA 98082-0230
Phone
(425) 686-9082
Fax
(425) 984-7007
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 MC61389055 WA Primary
Clinical Social Worker 1041C0700X SC61046709 WA

Addresses

Primary practice location

15833 Mill Creek Blvd Unit 13068
Mill Creek, WA 98082-0230

Mailing address

15833 Mill Creek Blvd Unit 13068
Mill Creek, WA 98082-0230
Phone (425) 686-9082

Other names 1

  • Mrs. Tanya Chrystal Atkinson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61389055WAMDMental Health Counselor
SC61046709WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1972152056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15833 MILL CREEK BLVD UNIT 13068",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980820230",
            "telephone_number": "425-686-9082",
            "fax_number": "425-984-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15833 MILL CREEK BLVD UNIT 13068",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980820230",
            "telephone_number": "425-686-9082",
            "fax_number": "425-984-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "TANYA",
        "middle_name": "CHRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "MSW, SWAICL, MHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61389055",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61046709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "ATKINSON",
            "middle_name": "CHRYSTAL",
            "prefix": "MRS.",
            "credential": "MSW. MHCA,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.