Kirsten Rose Hallstrom Henebry, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60736474 Issued in WA

Practice address

15214 Aurora Ave N
Shoreline, WA 98133-6143

Phone

(206) 518-9021

Fax

(415) 252-7176

NPI assigned

Aug 15, 2017

Last updated

Oct 17, 2025By the provider in NPPES

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iora Health Washington Physicians PCGroup PAC ID 1355614421, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iora Health Washington Physicians, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1023547072
  Medicare reassignment Care Compare group NPD
• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1710386545
  Medicare reassignment NPD
• Iora Health Washington Physicians, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1053805721
  NPD
• Iora Health Washington Physicians, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Puyallup, WA
  • NPI 1053805739
  NPD
• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Shoreline, WA
  • NPI 1871997965
  NPD
• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Arvada, CO
  • NPI 1760867428
  NPD
• Iora Health Massachusetts, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666
  NPD (past)
• Iora Health, LLC

  dba One Medical at Dartmouth

  • Internal Medicine Physician
  • Hanover, NH
  • NPI 1700285616
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1285150979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336143",
            "telephone_number": "206-518-9021",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336143",
            "telephone_number": "206-518-9021",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012358",
            "country_code": "US",
            "telephone_number": "509-326-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLSTROM HENEBRY",
        "first_name": "KIRSTEN",
        "middle_name": "ROSE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60736474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Hagerstrom, LSWAIC
• Haggen Inc (Top 21)
• Lisa E Hales, LMP
• Michelle Ann Hall, LMP
• Kirsten Hallock
• Frances Hamanishi
• Brooklyn Hambrick
• Montalia Hamilton
• Jessica Erin Hancock, N.D.
• Nicholas Handwerk

• Psychologist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.