Individual provider Active NPI

Kevin Patrick Maloy, MA,MHP,LMHC

  • Mental Health Counselor
  • Shoreline, WA
National Provider Identifier
1194143404
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60618188 Issued in WA
Practice address
727 N 182ND St
Suite 202
Shoreline, WA 98133-4402
Phone
(206) 369-1211
Fax
(206) 542-5235
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 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 LH60618188 WA Primary

Addresses

Primary practice location

727 N 182ND St
Suite 202
Shoreline, WA 98133-4402

Mailing address

125 N 105TH St
Seattle, WA 98133-8701
Phone (206) 369-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108003514 WA Practitioner - Mental Health Counselor 7810473972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

727 N 182ND St
Suite 202
Shoreline, WA 98133-4402
Phone (206) 369-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60618188WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Emergence Counseling CurrentSince Nov 3, 2025 Accepting new patients

Locations

727 N 182nd St
#202
Shoreline, WA 98133
Phone (206) 369-1211

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1194143404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 105TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338701",
            "telephone_number": "206-369-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N 182ND ST",
            "address_2": "SUITE 202",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334402",
            "telephone_number": "206-369-1211",
            "fax_number": "206-542-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MA,MHP,LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60618188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.