Kathy Lynn Kwiatkowski, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2741 Issued in ID

Practice address

814 S Washington St
Moscow, ID 83843-3049

Phone

(208) 883-0619

Fax

(208) 882-4774

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164543666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MOSER CT",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439598",
            "telephone_number": "208-883-0619",
            "fax_number": "208-882-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S WASHINGTON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433049",
            "telephone_number": "208-883-0619",
            "fax_number": "208-882-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "2741",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "5239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doree Erika Kovis-Tonks, LCSW
• Taylor Lynn Krasselt
• Ruth Margaret Krause, CD (DONA)
• Nancy L Kure, RD., LD, CDE
• Natsumi Kuribayashi, LAT, ATC
• Marvin Renell Kym, MD
• Kathleen Allard Lafortune, P.T.
• Matthew Lassen, PA-C
• Latah Community Health Pharmacy
• Latah Health Services, Inc.

• Mental Health Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.