Christie L. McDermott, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP0305 Issued in NV

Practice address

463 W Cimarron Ave
Saratoga Springs, UT 84045-6535

Phone

(509) 939-0204

NPI assigned

Jul 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Christie Lynn Kinley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1043662968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 W CIMARRON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456535",
            "telephone_number": "509-939-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 W CIMARRON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456535",
            "telephone_number": "509-939-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "CHRISTIE",
        "middle_name": "L.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60845527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "11567274-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "KINLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cloey Maxson
• Nicole Mayhew
• Nathan Richard McArthur, M.D.
• McCall Anne McCord, DDS
• Brian C McCune, MD
• Wendy Kaye McGee, FNP-C
• Jessica Patrick McGinty, OTR/L
• Kyler McKeachnie
• Kara Lee McNeil
• Alyssa Karen Mecham

• Mental Health Counselor in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.