Active NPI
Carole Ruth Pickett, MA
- Mental Health Counselor
- Lakebay, WA
National Provider Identifier
1316277049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00022838
- Practice address
- 16414 92ND St KPN
Lakebay, WA 98349-0918 - Phone
- (253) 222-4670
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00022838 | WA | Primary |
Addresses
Primary practice location
16414 92ND St KPN
Lakebay, WA 98349-0918
Mailing address
PO Box 918
Vaughn, WA 98394-0918
Phone (253) 222-4670
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00022838 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1316277049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918",
"city": "VAUGHN",
"state": "WA",
"postal_code": "983940918",
"telephone_number": "253-222-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16414 92ND ST KPN",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983490918",
"telephone_number": "253-222-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "CAROLE",
"middle_name": "RUTH",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "00022838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.