Macy Marie Karlsvik

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

61598017 Issued in WA

Practice address

1016 Commercial St
Raymond, WA 98577-2631

Phone

(360) 942-2474

NPI assigned

Oct 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raymond, WA
  • NPI 1285886655
  NPD (past)
• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1952437824
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1225858954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 COMMERCIAL ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772631",
            "telephone_number": "360-942-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSVIK",
        "first_name": "MACY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61598017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jarvis
• Jeffrey S. Nevitt OD
• Kendra Kay Jennings
• Ashlee Jones
• Kerstin Rae Jones, LMP
• Laura Kelley, LMHC
• Kalyn Kelsay
• Kindformat LLC
• Robert Matthew Klemp, D.C.
• Ashley Nicole Knight, CPS

• Addiction (Substance Use Disorder) Counselor in Raymond, WA
• Providers in Raymond, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.