Individual provider Active NPI

Kiersten Sechrist, MA, LMHCA

  • Professional Counselor
  • Shoreline, WA
National Provider Identifier
1225797947
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MC61010868 Issued in WA
Practice address
18019 Ashworth Ave N
Shoreline, WA 98133-4524
Phone
(434) 209-7738
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MC61010868 WA Primary

Addresses

Primary practice location

18019 Ashworth Ave N
Shoreline, WA 98133-4524

Mailing address

18019 Ashworth Ave N
Shoreline, WA 98133-4524
Phone (434) 209-7738

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://kiersten-sechrist.clientsecure.me/ Direct

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC61010868WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1225797947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18019 ASHWORTH AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334524",
            "telephone_number": "434-209-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18019 ASHWORTH AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334524",
            "telephone_number": "434-209-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECHRIST",
        "first_name": "KIERSTEN",
        "credential": "MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MC61010868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kiersten-sechrist.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "contact portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "simplepractice",
            "address_1": "18019 Ashworth Ave N",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981334524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.