Katherine Smith
Individual provider Active NPI Mental Health Counselor · Fall City, WA
NPI 1083428700 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1083428700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 61582739 (WA)
- Practice address
- 36017 SE Fish Hatchery Rd
Fall City, WA 98024-9749 - Phone
- (425) 276-1578
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61582739 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Ground Counseling | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61582739 | WA | Yes |
Addresses
Primary practice location
36017 SE Fish Hatchery Rd
Fall City, WA 98024-9749
Mailing address
PO Box 732
Issaquah, WA 98027-0027
Other providers in Fall City, WA
- Sean Thomas Robinson
- Katherine Sachs
- Angela Saxon
- Nicole Amber Berry Schick
- Katrina Marie Schoettler
- Naomi Stansberry
- Steven Kim DDS PLLC
- Karyn Marie Summers
- Nathaniel J Swan III
- Erin Anne Tully Treiber
All providers in Fall City, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.