Organization Active NPI

Julie Kinn LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lacey, WA
National Provider Identifier
1285034439
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PY60112770 Issued in WA
Legal business name
JULIE KINN LLC
Practice address
677 Woodland Square Loop SE
Suite B 3
Lacey, WA 98503-1000
Phone
(408) 641-5466
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Julie Kinn, PH.D.
Title
Owner
Phone
(408) 641-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PY60112770 WA Primary

Addresses

Primary practice location

677 Woodland Square Loop SE
Suite B 3
Lacey, WA 98503-1000

Mailing address

2083 Lakemoor Dr SW
Olympia, WA 98512-5565
Phone (408) 641-5466

National Provider Directory

National Provider Directory

Locations

677 Woodland Square Loop SE
Ste B
Lacey, WA 98503
Phone (408) 641-5466

677 Woodland Square Loop SE
#B3
Lacey, WA 98503
Phone (360) 250-8422

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1285034439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 LAKEMOOR DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125565",
            "telephone_number": "408-641-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE B 3",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "408-641-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE KINN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "KINN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-641-5466",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY60112770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.