Individual provider Active NPI

Katelynn J Saunders-Kosta, MA, LMHCA

  • Mental Health Counselor
  • Lake Tappes, WA
National Provider Identifier
1073104857
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
314182 Ave E Suite C
Lake Tappes, WA 98391
Phone
(253) 987-5610
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

314182 Ave E Suite C
Lake Tappes, WA 98391

Mailing address

219 S River Ave Unit 950
Buckley, WA 98321-4038
Phone (253) 987-5610

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BUCKLEY

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Counseling PLLC Current 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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1073104857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S RIVER AVE UNIT 950",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983214038",
            "telephone_number": "253-987-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314182 AVE E SUITE C",
            "city": "LAKE TAPPES",
            "state": "WA",
            "postal_code": "98391",
            "telephone_number": "253-987-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS-KOSTA",
        "first_name": "KATELYNN",
        "middle_name": "J",
        "credential": "MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BUCKLEY",
            "affiliation": "N",
            "endpointDescription": "Mailing address",
            "address_1": "219 S River Ave Unit 950",
            "city": "Buckley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983214038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.