NPIMap

Organization Active NPI

Kaleigh Pettis Therapy

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1023409372
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MG 60493139 Issued in WA
Legal business name
KALEIGH PETTIS THERAPY
Practice address
1117 N 85TH St
Seattle, WA 98103-4005
Phone
(951) 522-0730
NPI assigned
Feb 9, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Kaleigh Pettis, MS, LMFTANPI 1073164596
Title
Clinical Therapist
Phone
(951) 522-0730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MG 60493139 WA Primary

Addresses

Primary practice location

1117 N 85TH St
Seattle, WA 98103-4005

Mailing address

1117 N 85TH St
Seattle, WA 98103-4005
Phone (951) 522-0730

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1023409372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034005",
            "telephone_number": "951-522-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034005",
            "telephone_number": "951-522-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIGH PETTIS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "KALEIGH",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "951-522-0730",
        "authorized_official_credential": "MS, LMFTA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "MG 60493139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.