Joellen Kenyon, MA LMHCA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MC60588921 Issued in WA

Practice address

1900 NW Dock PL Ste 4
Seattle, WA 98107-4846

Phone

(425) 478-4276

NPI assigned

Oct 1, 2016

Last updated

Oct 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1275082257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NW DOCK PL STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074846",
            "telephone_number": "425-478-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NW DOCK PL STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074846",
            "telephone_number": "425-478-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "JOELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MC60588921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Kenyon, LMFT
• Charles Danforth Kenyon, DO
• Christi M Kenyon, MD
• Emily Kenyon
• Jeannie Rhee Kenyon, PHARM.D.
• Kenneth William Kenyon Jr., PHARM.D.
• Randall Lee Kenyon, LMP
• Sarith Keo, PA-C
• Sompasong Keohavong
• Kaesri Keopanya, CDP

• Community Health Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.