Fresh Start Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRESH START COUNSELING PLLC

Doing business as

Fresh Start Counseling PLLC

Practice address

4905 N Island Dr E
Bonney Lake, WA 98391-8675

Phone

(253) 294-3748

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Katelynn Saunders-KostaNPI 1073104857

Title

Owner/ Counselor

Phone

(253) 294-3748

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Counseling PLLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelynn J Saunders-Kosta, MA, LMHCA

  • Mental Health Counselor
  • Lake Tappes, WA
  • NPI 1073104857
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1184347478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 N ISLAND DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918675",
            "telephone_number": "253-294-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 N ISLAND DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918675",
            "telephone_number": "253-294-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS-KOSTA",
        "authorized_official_first_name": "KATELYNN",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "253-294-3748"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelynn@freshstart-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4905 N Island Dr E",
            "city": "Bonney Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983918675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresh Start Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.