Individual provider Active NPI

Cassandra R Kinson, LMHC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1225237522
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010933 Issued in WA
Practice address
1301 120TH Ave NE
Bellevue, WA 98005-2124
Phone
(425) 462-2776
Fax
(425) 462-2860
NPI assigned
Jul 16, 2007
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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 LH00010933 WA Primary

Addresses

Primary practice location

1301 120TH Ave NE
Bellevue, WA 98005-2124

Mailing address

1239 120TH Ave NE Ste C
Bellevue, WA 98005-2133
Phone (425) 462-2776

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
LH00010933WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1225237522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 120TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052133",
            "telephone_number": "425-462-2776",
            "fax_number": "425-462-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 120TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052124",
            "telephone_number": "425-462-2776",
            "fax_number": "425-462-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSON",
        "first_name": "CASSANDRA",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.