Individual provider Active NPI

Kaylin Jeanne Furry, M.A. ED., LMHC

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1346477551
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60045072 Issued in WA
Practice address
203 4TH Ave E Ste 411
Olympia, WA 98501-1189
Phone
(360) 292-2775
NPI assigned
Jun 15, 2009
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60045072 WA Primary

Addresses

Primary practice location

203 4TH Ave E Ste 411
Olympia, WA 98501-1189

Mailing address

1604 Central St NE
Olympia, WA 98506-3454
Phone (360) 292-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60045072WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1346477551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CENTRAL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063454",
            "telephone_number": "360-292-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 4TH AVE E STE 411",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011189",
            "telephone_number": "360-292-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURRY",
        "first_name": "KAYLIN",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "M.A. ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60045072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.