Individual provider Active NPI

Linda Sue Kuick, MED LMHC NBCC CCJTS

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1104926708
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003555 Issued in WA
Practice address
404 Bradley Blvd
Ste. 200
Richland, WA 99352-4498
Phone
(509) 371-9956
Fax
(509) 371-9957
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00003555 WA Primary
Professional Counselor 101YP2500X LH00003555 WA

Addresses

Primary practice location

404 Bradley Blvd
Ste. 200
Richland, WA 99352-4498

Mailing address

404 Bradley Blvd
Ste. 200
Richland, WA 99352-4498
Phone (509) 371-9956

Other identifiers 3

IdentifierTypeStateIssuer
26508OtherWACLINICALLY CERTIFIED JUVENILE TREATMENT SPECIALIST
51861OtherNATIONAL BOARD CERTIFICAT
LH00003555OtherWASTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LH00003555WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1104926708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD",
            "address_2": "STE. 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524498",
            "telephone_number": "509-371-9956",
            "fax_number": "509-371-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD",
            "address_2": "STE. 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524498",
            "telephone_number": "509-371-9956",
            "fax_number": "509-371-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUICK",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MED LMHC NBCC CCJTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003555",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00003555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICALLY CERTIFIED JUVENILE TREATMENT SPECIALIST",
            "identifier": "26508",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD CERTIFICAT",
            "identifier": "51861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LH00003555",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.