Kitsap Family Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KITSAP FAMILY WELLNESS LLC

Practice address

3587 NW Anderson Hill Rd
Silverdale, WA 98383-9130

Phone

(360) 434-7097

Fax

(360) 698-5967

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Sandra Quinn

Title

Office Manager

Phone

(360) 434-7097

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Michelle Scannell, LICSW

  • Clinical Social Worker
  • Allyn, WA
  • NPI 1255716239
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1104397033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839130",
            "telephone_number": "360-434-7097",
            "fax_number": "360-698-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839130",
            "telephone_number": "360-434-7097",
            "fax_number": "360-698-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-434-7097"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881018406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Kitchel
• Kitsap Audiology, Inc.
• Kitsap Children'S Speech Therapy
• Kitsap Childrens Clinic
• Kitsap Eyecare, Inc
• Kitsap General Surgery PLLC
• Kitsap Medical Supply, LLC
• Kitsap OBGYN PLLC
• Kitsap Optical Inc
• Kitsap Physical Therapy and Sports Clinic PS Inc

• All providers in Silverdale, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.