Active NPI
Kendall Cecile Farley, LMHCA
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1124631064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61082198
- Practice address
- 1204 4TH Ave E
Olympia, WA 98506-4277 - Phone
- (360) 859-4667
- NPI assigned
- Aug 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61082198 | WA | Primary |
Addresses
Primary practice location
1204 4TH Ave E
Olympia, WA 98506-4277
Mailing address
6409 Woodard Bay Rd NE
Olympia, WA 98506-1549
Phone (425) 244-8913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61082198 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598745600000",
"number": "1124631064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6409 WOODARD BAY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985061549",
"telephone_number": "425-244-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 4TH AVE E",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985064277",
"telephone_number": "360-859-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "KENDALL",
"middle_name": "CECILE",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-30",
"last_updated": "2020-08-30",
"certification_date": "2020-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61082198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
- Family Medical Care Clinic LLC
- Family Practice Associates of Olympia, PLLC
- Family Support Center of South Sound
- Charles Eugene Fankhauser, D.D.S.
- Danielle Penn Fanshel
- Lauren Dorothy Farmer, LMFT
- Rachel Farney, CRNA
- Lorraine Ellen Farrand, P.T.A.
- Fasa Family Wellness, PLLC
- Fasa Family Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.