NPIMap

Organization Active NPI

Mountain View Mental Health

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1124567177
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW60127859 Issued in WA
Legal business name
MOUNTAIN VIEW MENTAL HEALTH
Practice address
3100 NW Bucklin Hill Rd Ste 246
Silverdale, WA 98383-8365
Phone
(208) 841-8559
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Mrs. Kellie Kristina Robison, LICSWNPI 1760602155
Title
Therapist
Phone
(208) 841-8559

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 LW60127859 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd Ste 246
Silverdale, WA 98383-8365

Mailing address

PO Box 4074
South Colby, WA 98384-0074
Phone (208) 841-8559

National Provider Directory

National Provider Directory

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1124567177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4074",
            "city": "SOUTH COLBY",
            "state": "WA",
            "postal_code": "983840074",
            "telephone_number": "208-841-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 246",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838365",
            "telephone_number": "208-841-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "KRISTINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-841-8559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60127859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.