Active NPI
Kristin Boscaljon, MA, LMHCA
- Counselor
- Seattle, WA
National Provider Identifier
1346937828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC61422549
- Practice address
- 108 S Jackson St
Seattle, WA 98104-3802 - Phone
- (515) 720-4237
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61422549 | WA | Primary |
Addresses
Primary practice location
108 S Jackson St
Seattle, WA 98104-3802
Mailing address
108 S Jackson St
Seattle, WA 98104-3802
Phone (515) 720-4237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 8, 2025 through Sep 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61422549 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1346937828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S JACKSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043802",
"telephone_number": "515-720-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S JACKSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043802",
"telephone_number": "515-720-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSCALJON",
"first_name": "KRISTIN",
"credential": "MA, LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61422549",
"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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.