Active NPI
Kathleen Mary Matkoski, PH.D.
- Counseling Psychologist
- Lynnwood, WA
National Provider Identifier
1205056439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY00002407
- Practice address
- 19221 36TH Avenue W.
Suite 207
Lynnwood, WA 98036 - Phone
- (425) 744-0890
- Fax
- (425) 482-1274
- NPI assigned
- Apr 30, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002407 | WA | |
| Counseling Psychologist | 103TC1900X | PY00002407 | WA | Primary |
Addresses
Primary practice location
19221 36TH Avenue W.
Suite 207
Lynnwood, WA 98036
Mailing address
19221 36TH Avenue W.
Suite 207
Lynnwood, WA 98036
Phone (425) 744-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1299WE | Other | WA | REGENCE BLUESHIELD PIN # |
Other names 1
- Dr. Kathleen M Wetherbee
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002407 | WA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alderwood Psychological Services, Inc. | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205056439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19221 36TH AVENUE W.",
"address_2": "SUITE 207",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "425-744-0890",
"fax_number": "425-482-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19221 36TH AVENUE W.",
"address_2": "SUITE 207",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "425-744-0890",
"fax_number": "425-482-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATKOSKI",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002407",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "PY00002407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD PIN #",
"identifier": "1299WE",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "WETHERBEE",
"middle_name": "M",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.