Individual provider Active NPI

Kathryn H Luetkehans, LMHC

  • Mental Health Counselor
  • Freeland, WA
National Provider Identifier
1073868022
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61074608 Issued in WA
Practice address
5492 Harbor Ave
Freeland, WA 98249-3002
Phone
(425) 922-8394
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12728 CO
Mental Health Counselor 101YM0800X LH61074608 WA Primary

Addresses

Primary practice location

5492 Harbor Ave
Freeland, WA 98249-3002

Mailing address

3910 Sanna Wind Way
Langley, WA 98260-9605
Phone (425) 922-8394

Other practice location 1

3910 Sanna Wind Way
Langley, WA 98260-9605
Phone (425) 922-8394

Other identifiers 2

IdentifierTypeStateIssuer
2164660MedicaidWA
757244MedicaidCO

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
12728COMDMental Health Counselor
LH61074608WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1073868022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SANNA WIND WAY",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609605",
            "telephone_number": "425-922-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 HARBOR AVE",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982493002",
            "telephone_number": "425-922-8394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Sanna Wind Way",
            "address_purpose": "LOCATION",
            "city": "Langley",
            "state": "WA",
            "postal_code": "982609605",
            "country_code": "US",
            "telephone_number": "425-922-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUETKEHANS",
        "first_name": "KATHRYN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "12728",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61074608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164660",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757244",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.