Katherine Lenore Blair Nack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

793 Ericksen Ave NE
Bainbridge Island, WA 98110-1876

Phone

(206) 235-5281

NPI assigned

Mar 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1346041050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE 3RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046009",
            "telephone_number": "206-235-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 ERICKSEN AVE NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101876",
            "telephone_number": "206-235-5281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 SE 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046009",
            "country_code": "US",
            "telephone_number": "206-235-5281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACK",
        "first_name": "KATHERINE",
        "middle_name": "LENORE BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Morrow, ARNP
• Perry D Mostov, DO
• Charlene Ruth Moy, MS LMFT
• Chase Keaton Myers, LMHC
• Mylaurel Medical Group Wa, PLLC
• Michelle Naden, PHD
• Ellen Napolitano
• Nathan G Russell DDS PC
• Nellie McCarty, Licsw, PLLC
• Charles Anthony Nelson, M.D.

• Mental Health Counselor in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.