Julie Canterbury, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60484556 Issued in WA

Practice address

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847

Phone

(360) 698-5883

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCS Counseling Group LLCGroup PAC ID 8224485131, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1740727494
  Medicare reassignment Care Compare group NPD Authorized official
• Kyle McKenzie DC Inc

  dba Silver Sound Chiropractic

  • Chiropractor
  • Silverdale, WA
  • NPI 1487254645
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1982035176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "JULIE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60484556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162861",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Caires
• Brianna Margo Calkin, LMP
• Jennifer Calvin Myers, LICSW
• Kyleen Alane Campbell, LMP
• Sara Jung Campbell, M.S. CCC-SP
• Mary Anne Cantu, MA 617404565
• Yen Thi Kim Hong Cao, MD
• Jerome Emile Carbone, M.D.
• Tiffany M Cardinal, MD
• Careplus LLC (Careplus AFH)

• Mental Health Counselor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.