Active NPI
Kalen Roy
- Mental Health Counselor
- Moses Lake, WA
National Provider Identifier
1134584923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SC60496141
- Practice address
- 840 E Plum St
Moses Lake, WA 98837-1874 - Phone
- (509) 765-9239
- Fax
- (509) 765-4124
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- 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 | SC60496141 | WA | Primary |
Addresses
Primary practice location
840 E Plum St
Moses Lake, WA 98837-1874
Mailing address
840 E Plum St
Moses Lake, WA 98837-1874
Phone (509) 765-9239
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 |
|---|---|---|---|
| SC60496141 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1134584923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E PLUM ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371874",
"telephone_number": "509-765-9239",
"fax_number": "509-765-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E PLUM ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371874",
"telephone_number": "509-765-9239",
"fax_number": "509-765-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "KALEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "SC60496141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.