Individual provider Active NPI

Angela Kilkenny, MAED

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1154077543
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61244661 Issued in WA
Practice address
4530 Union Bay PL NE Ste 214
Seattle, WA 98105-4000
Phone
(206) 420-7345
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61244661 WA Primary

Addresses

Primary practice location

4530 Union Bay PL NE Ste 214
Seattle, WA 98105-4000

Mailing address

7049 18TH Ave NW
Seattle, WA 98117-5553
Phone (206) 420-7355

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
MC61244661WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hallowell Todaro Center PLLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

4530 Union Bay Pl NE
Ste 214
Seattle, WA 98105
Phone (206) 420-7345

Organizations & group practices 1

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1154077543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7049 18TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175553",
            "telephone_number": "206-420-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 UNION BAY PL NE STE 214",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054000",
            "telephone_number": "206-420-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILKENNY",
        "first_name": "ANGELA",
        "credential": "MAED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61244661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.