Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Wynonna Susilo, LMHCA

Individual provider Mental Health Counselor · NPI 1831862598

Angela Wynonna Susilo, LMHCA is a Mental Health Counselor in Mercer Island, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

3210 Shorewood Dr Apt 145
Mercer Island, WA 98040-3224
Phone: (331) 444-9206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Nw 36th St Ste 210, Seattle, WA 98107-4959 — (206) 402-5767

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61094941 (WA)

Record details

NPI number1831862598
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA
Sole proprietorYes
NPI enumeratedJuly 28, 2021
Last updated in NPPESAugust 14, 2021
Certification dateAugust 14, 2021

Other providers in Mercer Island