Individual provider Active NPI

Andrea Kouneev, MA, LMHC, NCC, OTR/L

  • Mental Health Counselor
  • Gig Harbor, WA
National Provider Identifier
1972817864
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61028551 Issued in WA
Practice address
3206 50TH Street CT BLDG a
Gig Harbor, WA 98335-8556
Phone
(253) 468-7899
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X CO
Mental Health Counselor 101YM0800X 61028551 WA Primary

Addresses

Primary practice location

3206 50TH Street CT BLDG a
Gig Harbor, WA 98335-8556

Mailing address

3206 50TH Street CT BLDG a
Gig Harbor, WA 98335-8556
Phone (253) 468-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61028551WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1972817864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 50TH STREET CT BLDG A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358556",
            "telephone_number": "253-468-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 50TH STREET CT BLDG A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358556",
            "telephone_number": "253-468-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNEEV",
        "first_name": "ANDREA",
        "credential": "MA, LMHC, NCC, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61028551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.