Organization Active NPI

Kristin Penn, Ma, LMHC (PLLC)

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1104439934
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRISTIN PENN, MA, LMHC (PLLC)
Practice address
170 S Lincoln St Ste 150
Spokane, WA 99201-4443
Phone
(206) 324-1870
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Ms. Kristin Penn, MA, LMHCNPI 1588785612
Title
Owner
Phone
(206) 324-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

170 S Lincoln St Ste 150
Spokane, WA 99201-4443

Mailing address

4801 Deer Lake Rd, Unit 1
Clinton, WA 98236-4005
Phone (206) 324-1870

National Provider Directory

National Provider Directory

Locations

4801 Deer Lake Rd
Unit 1
Clinton, WA 98236

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1104439934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DEER LAKE RD, UNIT 1",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982364005",
            "telephone_number": "206-324-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S LINCOLN ST STE 150",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014443",
            "telephone_number": "206-324-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN PENN, MA, LMHC (PLLC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-324-1870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.