Active NPI
Kristin Penn, Ma, LMHC (PLLC)
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1104439934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristin Penn, MA, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Clinton, WA
- NPI 1588785612
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.