Individual provider Active NPI

Katrina Cecelia Oxborrow, LMHC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1184929069
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60196743 Issued in WA
Practice address
400 E Pioneer Ste 207
Puyallup, WA 98372-3257
Phone
(425) 345-4857
Fax
(253) 841-9792
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 60196743 WA Primary

Addresses

Primary practice location

400 E Pioneer Ste 207
Puyallup, WA 98372-3257

Mailing address

PO Box 1934
Sumner, WA 98390-0420
Phone (206) 701-4019

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
60196743WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1184929069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1934",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983900420",
            "telephone_number": "206-701-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PIONEER STE 207",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723257",
            "telephone_number": "425-345-4857",
            "fax_number": "253-841-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXBORROW",
        "first_name": "KATRINA",
        "middle_name": "CECELIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60196743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.