Individual provider Active NPI

Kayla Diane Birkeland, M.A.

  • Counselor
  • Vancouver, WA
National Provider Identifier
1023534658
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61277365 Issued in WA
Practice address
15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952
Phone
(360) 215-3242
Fax
(360) 326-7224
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 61277365 WA Primary

Addresses

Primary practice location

15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952

Mailing address

15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952
Phone (360) 215-3242

Other practice location 1

13505 NE 10th Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

Other practice location 2

655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Phone (360) 433-9664

Other practice location 3

16114 E Indiana Ave Ste 210
Spokane Valley, WA 99216-1874
Phone (360) 433-9664

Other identifiers 1

IdentifierTypeStateIssuer
2097582MedicaidWA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250331001990 WA Practitioner - Mental Health Counselor 3870016835 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61277365WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc CurrentSince Feb 1, 2025 Accepting new patients
Refresh Therapy, Inc Past Accepting new patients

Locations

16114 E Indiana Ave
Ste 210
Spokane Valley, WA 99216
Phone (360) 215-3242

655 W Columbia Way
Ste 400
Vancouver, WA 98660
Phone (360) 433-9664

15609 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 215-3242

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1023534658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848952",
            "telephone_number": "360-215-3242",
            "fax_number": "360-326-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848952",
            "telephone_number": "360-215-3242",
            "fax_number": "360-326-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13505 NE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852711",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W Columbia Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603613",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16114 E Indiana Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161874",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKELAND",
        "first_name": "KAYLA",
        "middle_name": "DIANE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "61277365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097582",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.