Kristen Watrous

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4610 NE 77TH Ave Ste 135
Vancouver, WA 98662-6792

Phone

(360) 953-3199

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northwest Emdr Therapy LLC

  • Counselor
  • Vancouver, WA
  • NPI 1578137857
  NPD (past)

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1093461873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NE 77TH AVE STE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626792",
            "telephone_number": "360-953-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NE 77TH AVE STE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626792",
            "telephone_number": "360-953-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATROUS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northwestemdr.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4610 NE 77th Ave Ste 135",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Robert Watkins, M.D.
• Jessica Leigh Watkins, LMP
• Kimberly Elizabeth Watkins, BEHAVIOR TECHNICIAN
• Scott Watkins, RPH
• Taylor Watkins
• Bonnie Kay Watson
• Christian Shepard Watson, CDP-T
• Corinne Elizabeth Watson
• David Watson, LCSW
• Jill Watson

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.