Individual provider Active NPI

Kathryn Miller Sedgwick, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1356068860
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61507662 Issued in WA
Practice address
1532 NE 106TH St
Seattle, WA 98125-6514
Phone
(206) 965-0106
NPI assigned
Oct 25, 2022
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 LH61507662 WA Primary

Addresses

Primary practice location

1532 NE 106TH St
Seattle, WA 98125-6514

Mailing address

1532 NE 106TH St
Seattle, WA 98125-6514
Phone (206) 965-0106

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
LH61507662WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Psychotherapy Mental Health Current Accepting new patients
Juturna, PLLC Mental Health CurrentSince Dec 3, 2023 Accepting new patients

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1356068860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 NE 106TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256514",
            "telephone_number": "206-965-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 NE 106TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256514",
            "telephone_number": "206-965-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER SEDGWICK",
        "first_name": "KATHRYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61507662",
            "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 Sep 5, 2024; 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.