Individual provider Active NPI

Kendra Rieger Thew, M.A., PH.D.

  • Mental Health Counselor
  • Mill Creek, WA
National Provider Identifier
1285163741
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60751837 Issued in WA
Practice address
16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577
Phone
(425) 357-9111
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60751837 WA Primary

Addresses

Primary practice location

16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577

Mailing address

705 Driftwood PL
Edmonds, WA 98020-2663
Phone (206) 940-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH60751837WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Family Services, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1285163741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DRIFTWOOD PL",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202663",
            "telephone_number": "206-940-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY STE 360",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121577",
            "telephone_number": "425-357-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEW",
        "first_name": "KENDRA",
        "middle_name": "RIEGER",
        "name_prefix": "Dr.",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60751837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.