Individual provider Active NPI

Katie S Roskilly, LMHCA

  • Counselor
  • Lynnwood, WA
National Provider Identifier
1295552735
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MHC.LH.70084294 Issued in WA
Practice address
5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169
Phone
(425) 582-2041
Fax
(425) 527-0468
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHC.LH.70084294 WA Primary

Addresses

Primary practice location

5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169

Mailing address

5108 196TH St SW Ste 310
Lynnwood, WA 98036-6152
Phone (425) 256-7987

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5108 196TH St SW
Suite 310
Lynnwood, WA 98036-6152

5108 196TH St SW
Suite 350
Lynnwood, WA 98036-6169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC.LH.70084294WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Mental Health LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

5108 196th St SW
Ste 350
Lynnwood, WA 98036
Phone (425) 582-2041

5108 196th St SW
Ste 310
Lynnwood, WA 98036
Phone (425) 582-2041

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1295552735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152",
            "telephone_number": "425-256-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKILLY",
        "first_name": "KATIE",
        "middle_name": "S",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MHC.LH.70084294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.