Individual provider Active NPI

Kathleen Stewardson, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1346652039
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60308235 Issued in WA
Practice address
2111 N Northgate Way Ste 101
Seattle, WA 98133-9018
Phone
(360) 969-6409
NPI assigned
May 29, 2014
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60938627 WA
Mental Health Counselor 101YM0800X LH60308235 WA Primary

Addresses

Primary practice location

2111 N Northgate Way Ste 101
Seattle, WA 98133-9018

Mailing address

1724 104TH PL SW
Everett, WA 98204-3666
Phone (360) 969-6409

Other practice location 1

13037 NE Bel Red Rd Ste 102
Bellevue, WA 98005-2618
Phone (425) 502-9945

Other practice location 2

7416 212th St SW
Edmonds, WA 98026-7609
Phone (252) 455-8004

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

State licenses

LicenseStateTypeSpecialty
CO60938627WAMDAddiction (Substance Use Disorder) Counselor
LH60308235WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northpoint Washington LLC CurrentSince Aug 1, 2020 Accepting new patients
Evergreen at Northpoint LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

1650 S Topaz Way
Meridian, ID 83642
Phone (208) 888-3151

13037 NE Bel Red Rd
Ste 102
Bellevue, WA 98005
Phone (425) 502-9440

7416 212th St SW
Edmonds, WA 98026
Phone (425) 245-5800

2111 N Northgate Way
Ste 101
Seattle, WA 98133
Phone (206) 309-3740

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1346652039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 104TH PL SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043666",
            "telephone_number": "360-969-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "360-969-6409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13037 NE Bel Red Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052618",
            "country_code": "US",
            "telephone_number": "425-502-9945",
            "fax_number": "855-212-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7416 212th St SW",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267609",
            "country_code": "US",
            "telephone_number": "252-455-8004",
            "fax_number": "855-212-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARDSON",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60938627",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60308235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.