Individual provider Active NPI

Rajni Samyuktha Krishna, RDN, CDCES

  • Mental Health Counselor
  • Kenmore, WA
National Provider Identifier
1134586746
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC70005440 Issued in WA
Practice address
6126 NE Bothell Way FL 2
Kenmore, WA 98028-8939
Phone
(206) 413-8308
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 MC70005440 WA Primary
Registered Dietitian 133V00000X DI60612326 WA

Addresses

Primary practice location

6126 NE Bothell Way FL 2
Kenmore, WA 98028-8939

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2055304MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC70005440WAMDMental Health Counselor
DI60612326WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jun 6, 2022 Accepting new patients
Moksha Wellness Therapy, PLLC Dietitian, Registered CurrentSince Nov 18, 2025 Accepting new patients
Western Washington Medical Group Inc PS Dietitian, Registered CurrentSince Dec 1, 2016 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Dec 1, 2016 Accepting new patients

Locations

1909 214th St SE
Ste 211
Bothell, WA 98021
Phone (425) 248-2626

21600 Highway 99
Ste 150
Edmonds, WA 98026
Phone (425) 673-3380

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1728 W Marine View Dr
Ste 111
Everett, WA 98201

6126 NE Bothell Way
Fl 2
Kenmore, WA 98028
Phone (206) 413-8308

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Organizations & group practices 5

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1134586746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 NE BOTHELL WAY FL 2",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980288939",
            "telephone_number": "206-413-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA",
        "first_name": "RAJNI",
        "middle_name": "SAMYUKTHA",
        "name_prefix": "Ms.",
        "credential": "RDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC70005440",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60612326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.