Individual provider Active NPI

Kayla June Bassen, MA, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1063948347
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9894 Issued in OR
Practice address
5115 NE 94TH Ave
Suite D
Vancouver, WA 98662
Phone
(360) 558-7730
Fax
(360) 266-5013
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61228496 WA
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X C9894 OR Primary

Addresses

Primary practice location

5115 NE 94TH Ave
Suite D
Vancouver, WA 98662

Mailing address

5115 NE 94TH Ave
Suite D
Vancouver, WA 98662
Phone (971) 381-0463

Other names 1

  • Kayla June Smith Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C9894ORMDMental Health Counselor
LH61228496WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Whole Health PLLC Mental Health CurrentSince Jun 12, 2022 Accepting new patients

Locations

5115 NE 94th Ave
Ste D
Vancouver, WA 98662
Phone (360) 558-7730

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1063948347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 NE 94TH AVE",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "971-381-0463",
            "fax_number": "360-266-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 NE 94TH AVE",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-558-7730",
            "fax_number": "360-266-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEN",
        "first_name": "KAYLA",
        "middle_name": "JUNE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2025-08-13",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61228496",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SMITH",
            "middle_name": "JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.