Kami L McKinzey, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BHA.FS.61070865 Issued in WA

Practice address

21810 NE 37TH Ave
Ridgefield, WA 98642-7747

Phone

(360) 989-4890

Fax

(360) 397-7477

NPI assigned

Jan 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• X Change Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Ridgefield, WA
  • NPI 1033736491
  NPD
• Xchange Behavioral Health Agency

  • Case Management Agency
  • Ridgefield, WA
  • NPI 1780313320
  NPD

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1285023069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986041299",
            "telephone_number": "360-989-4890",
            "fax_number": "360-397-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 NE 37TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427747",
            "telephone_number": "360-989-4890",
            "fax_number": "360-397-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINZEY",
        "first_name": "KAMI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60145174",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "BHA.FS.61070865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166178",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ridgefield",
            "affiliation": "N",
            "endpointDescription": "xchangelives.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xchangelives.org",
            "address_1": "21810 NE 37th Ave",
            "city": "Ridgefield",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986427747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Candy A McGlathery
• Daniel Max McLean, MPAS, PA-C
• Karen McNeal
• Michelle Dragoo LMP
• Marilyn Kay Milestone, LDM, CPM, IBCLC
• Mountain View Dental

• Addiction (Substance Use Disorder) Counselor in Ridgefield, WA
• Providers in Ridgefield, 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 Aug 4, 2026; 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.