Individual provider Active NPI

Katie-Maureen Splaine-Duchsherer

  • Counselor
  • Bellevue, WA
National Provider Identifier
1043890999
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61308084 Issued in WA
Practice address
12507 NE Bel Red Rd Ste 101
Bellevue, WA 98005-2500
Phone
(425) 371-7825
NPI assigned
Apr 13, 2021
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC61308084 WA Primary

Addresses

Primary practice location

12507 NE Bel Red Rd Ste 101
Bellevue, WA 98005-2500

Mailing address

6634 112TH Ave SE
Bellevue, WA 98006-6424
Phone (425) 943-1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61308084WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1043890999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 112TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066424",
            "telephone_number": "425-943-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 NE BEL RED RD STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052500",
            "telephone_number": "425-371-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLAINE-DUCHSHERER",
        "first_name": "KATIE-MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61308084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.