ANGELA WYNONNA SUSILO LMHCA
NPI 1831862598
Counselor - Mental Health in Mercer Island, WA

Q: What is Angela Susilo's NPI number?

The NPI number for Angela Susilo is 1831862598. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Q: What is Angela Susilo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Angela Susilo was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2021

3210 SHOREWOOD DR APT 145, MERCER ISLAND, WA 98040(331) 444-9206 Get Directions Write a Review

NPPES record last updated: August 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2021, Jul 28, 2021 (2 updates tracked since 2021).

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About Angela Wynonna Susilo Lmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA WYNONNA SUSILO LMHCA (NPI 1831862598) is an individual mental health provider in Mercer Island, Washington, licensed in Washington (MC61094941) and active in the NPI registry since July 2021. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1831862598

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANGELA WYNONNA SUSILOCredential: LMHCA

Location Address3210 SHOREWOOD DR APT 145Mercer Island, WA 98040-3224

Mailing Address3210 Shorewood Dr Apt 145Mercer Island, WA 98040-3224 · (331) 444-9206

Phone(331) 444-9206

Sole ProprietorYes

Enumeration DateJuly 28, 2021

Last NPPES UpdateAugust 14, 20212 updates tracked since enumeration

NPPES CertifiedAugust 14, 2021

✔ NPI 1831862598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · MC61094941

3210 SHOREWOOD DR APT 145, Mercer Island, WA 98040

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Secondary Practice Location 1

Location 1123 NW 36th St Ste 210Seattle, WA 98107-4959 · Phone (206) 402-5767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Susilo's NPI number?

The NPI number for Angela Susilo is 1831862598. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Angela Susilo located?

Angela Susilo practices at 3210 Shorewood Dr Apt 145, Mercer Island, WA 98040. The listed phone number is (331) 444-9206.

What is Angela Susilo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Angela Susilo was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.