Active NPI
Katelyn Lodell, MA
- Mental Health Counselor
- Freeland, WA
National Provider Identifier
1366209389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61516324
- Practice address
- 5522 Freeland Ave
Freeland, WA 98249-9734 - Phone
- (360) 320-7081
- NPI assigned
- Mar 5, 2024
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61516324 | WA | Primary |
Addresses
Primary practice location
5522 Freeland Ave
Freeland, WA 98249-9734
Mailing address
3504 Fox Spit Rd
Langley, WA 98260-9315
Phone (360) 320-7081
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61516324 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1366209389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 FOX SPIT RD",
"city": "LANGLEY",
"state": "WA",
"postal_code": "982609315",
"telephone_number": "360-320-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 FREELAND AVE",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499734",
"telephone_number": "360-320-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODELL",
"first_name": "KATELYN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61516324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeland, WA
- Sarah Holmes Lebo, ARNP
- Isaac Leitz, PT, DPT
- Elizabeth Lesure, LMT
- Paula Ann Lintin, PHD, LPCC, LMHC
- Brenda Lee Litke, HIS
- Michael Lodell, DPT
- Kathryn H Luetkehans, LMHC
- Maple Ridge Retirement & Assisted Living Community LLC (Maple Ridge Retirement & Assisted Living Community)
- Patricia Joy McMahon, M.ED, MA
- Bobbi Nichole Mennella, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.