Kaleidoscope Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KALEIDOSCOPE COUNSELING PLLC

Practice address

8050 Mukilteo Speedway Unit 1412
Mukilteo, WA 98275-7062

Phone

(206) 758-8422

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Marie E Ramirez, MSW, LICSWNPI 1649934522

Title

President/Ceo

Phone

(206) 758-8422

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Ramirez, MSW, LICSW

  • Clinical Social Worker
  • Mukilteo, WA
  • NPI 1649934522

  Mental Health

  Medicare reassignment NPD Authorized official
• Gina M Formea

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1154464618
  NPD (past)
• Ruth A Herman-Dunn, PH.D.

  • Psychologist
  • Seattle, WA
  • NPI 1962509307
  NPD (past)

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1245093293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MUKILTEO SPEEDWAY UNIT 1412",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757062",
            "telephone_number": "206-758-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 MUKILTEO SPEEDWAY UNIT 1412",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757062",
            "telephone_number": "206-758-8422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 California Ave SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164400",
            "country_code": "US",
            "telephone_number": "206-758-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALEIDOSCOPE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-758-8422",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Joyce
• Tshiteya Kabuika
• John Kae, PHARMD
• Paul S Kahlon, D.M.D.
• Phylicia Kakazu
• Anne Louise Katherine, M.A.
• Kathryn T Onishi DDS PS
• Simerjit Kaur
• Tigist E Kebede
• Danika Tai-Ziemer Kennedy, DPT

• Clinical Social Worker in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.