Individual provider Active NPI

Krystyl Wyne Miyamoto, LMHC, LICSWA

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1124673157
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW70021024 Issued in WA
Practice address
14 N Grady LN
Spokane Valley, WA 99016-8610
Phone
(509) 609-6731
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 LW70021024 WA Primary
Social Worker 104100000X SC60978657 WA

Addresses

Primary practice location

14 N Grady LN
Spokane Valley, WA 99016-8610

Mailing address

14 N Grady LN
Spokane Valley, WA 99016-8610
Phone (509) 609-6731

Other names 1

  • Krystyl Wyne Netto Other name

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

LicenseStateTypeSpecialty
LW70021024WAMDMental Health Counselor
SC60978657WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Love Empowering Life, PLLC. CurrentSince Jan 26, 2025 Accepting new patients
Frontier Behavioral Health Mental Health PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1124673157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N GRADY LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168610",
            "telephone_number": "509-609-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N GRADY LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168610",
            "telephone_number": "509-609-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAMOTO",
        "first_name": "KRYSTYL",
        "middle_name": "WYNE",
        "credential": "LMHC, LICSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW70021024",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60978657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTYL",
            "last_name": "NETTO",
            "middle_name": "WYNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.