Kristin Roessler, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LW60591592 Issued in WA

Legal business name

KRISTIN ROESSLER, LLC

Doing business as

Discover Healing

Practice address

512 91St Ave NE Ste C
Lake Stevens, WA 98258-2566

Phone

(425) 870-0895

Fax

(425) 377-1764

NPI assigned

Dec 6, 2017

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Lee Roessler, LMHCNPI 1649365149

Title

Owner

Phone

(425) 870-0895

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Discover Healing Doing business as

Locations

Practitioners 2

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.

• Kristin Lee Roessler, LMHC

  • Mental Health Counselor
  • Lake Stevens, WA
  • NPI 1649365149
  NPD Authorized official
• Cynthia Robson, LISW

  • Clinical Social Worker
  • Lake Stevens, WA
  • NPI 1780480327
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1033624556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 91ST AVE NE STE C",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582566",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 91ST AVE NE STE C",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582566",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5705 Evergreen Way Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982036030",
            "country_code": "US",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTIN ROESSLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "ROESSLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-870-0895",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LW60591592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649365149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Randolph Knoefler, L.M.P.
• Lindsey Janet Knox, PT, DPT
• Jessica Kolle, LMHC
• Heidi Rita Krajicek, MA CCC SLP
• Ian Scott Krauter, LICSW
• Sarah Lachner
• Rommel Lacson, PT
• Lake Stevens Chiropractic, PLLC (Lake Stevens Chiropractic)
• Lake Stevens Massage Therapy, Inc.
• Lake Stevens Natural Medicine 1 (Lake Stevens Natural Medicine)

• Adult Mental Health Clinic/Center in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.