Organization Active NPI

Full Circle Therapy PLLC

Doing business as Full Circle Therapy

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1033921689
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FULL CIRCLE THERAPY PLLC
Doing business as
Full Circle Therapy
Practice address
705 W 7TH Ave Ste I
Spokane, WA 99204-2847
Phone
(509) 863-4415
NPI assigned
Jan 21, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Kalyn Makenzy Dahl, LICSWNPI 1043980204
Title
Clinical Social Worker
Phone
(509) 863-4415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

705 W 7TH Ave Ste I
Spokane, WA 99204-2847

Mailing address

3312 E 27TH Ave
Spokane, WA 99223-4027
Phone (509) 863-4415

Other practice location 1

3312 E 27th Ave
Spokane, WA 99223-4027
Phone (509) 863-4415

Other names 1

  • Full Circle Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

705 W 7th Ave
Ste I
Spokane, WA 99204
Phone (509) 863-4415

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": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1033921689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 E 27TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234027",
            "telephone_number": "509-863-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W 7TH AVE STE I",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042847",
            "telephone_number": "509-863-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 E 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234027",
            "country_code": "US",
            "telephone_number": "509-863-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL CIRCLE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "KALYN",
        "authorized_official_middle_name": "MAKENZY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "509-863-4415",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Full Circle Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.