Individual provider Active NPI

Kailey Michelle Fiedler, MA, CRC

  • Counselor
  • Bellevue, WA
National Provider Identifier
1295292670
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
60185923 Issued in WA
Practice address
12838 SE 40TH PL
Bellevue, WA 98006-1212
Phone
(425) 614-1282
Fax
(425) 614-1294
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60185923 WA Primary

Addresses

Primary practice location

12838 SE 40TH PL
Bellevue, WA 98006-1212

Mailing address

12838 SE 40TH PL
Bellevue, WA 98006-1212
Phone (425) 614-1282

Other practice location 1

1265 S Main St Ste 101
Seattle, WA 98144-2003
Phone (206) 501-3730

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

State licenses

LicenseStateTypeSpecialty
60185923WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hero House Current Accepting new patients

Locations

12838 SE 40th Pl
Bellevue, WA 98006
Phone (425) 614-1282

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1295292670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12838 SE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061212",
            "telephone_number": "425-614-1282",
            "fax_number": "425-614-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12838 SE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061212",
            "telephone_number": "425-614-1282",
            "fax_number": "425-614-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442003",
            "country_code": "US",
            "telephone_number": "206-501-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "KAILEY",
        "middle_name": "MICHELLE",
        "credential": "MA, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60185923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.