Active NPI
Loretta Sue Ann Crawford Kissel, LMHC
- Mental Health Counselor
- Lacey, WA
National Provider Identifier
1073743530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC60349670
- Practice address
- 5805 66TH Ave SE
Lacey, WA 98513-5200 - Phone
- (360) 489-9151
- NPI assigned
- Jul 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC60349670 | WA | Primary |
Addresses
Primary practice location
5805 66TH Ave SE
Lacey, WA 98513-5200
Mailing address
5805 66TH Ave SE
Lacey, WA 98513-5200
Phone (360) 489-9151
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC60349670 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1073743530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 66TH AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985135200",
"telephone_number": "360-489-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 66TH AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985135200",
"telephone_number": "360-489-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD KISSEL",
"first_name": "LORETTA",
"middle_name": "SUE ANN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-19",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LC60349670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.