Kayla M Vargas, PHD
Individual provider Active NPI Counseling Psychologist · Moxee, WA
NPI 1295474666 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1295474666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- PY61182606 (WA)
- Practice address
- 108 S Zeus St
Moxee, WA 98936-8809 - Phone
- (509) 201-2092
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 13, 2024 through Dec 13, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY61182606 | WA | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY61182606 | WA | Yes |
Addresses
Primary practice location
108 S Zeus St
Moxee, WA 98936-8809
Mailing address
108 S Zeus St
Moxee, WA 98936-8809
Phone (509) 201-2092
Other providers in Moxee, WA
All providers in Moxee, WA · Counseling Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.