Kerry Ann Mayhall, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20303 196TH Ave SE
Renton, WA 98058-0571

Phone

(425) 429-1588

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Blue River Counseling, LLC

  • Mental Health Counselor
  • Maple Valley, WA
  • NPI 1285019828
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376795526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20303 196TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980580571",
            "telephone_number": "425-429-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 196TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980580571",
            "telephone_number": "425-429-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22728 228th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980388263",
            "country_code": "US",
            "telephone_number": "425-429-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYHALL",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxor National Pharmacy
• Maya Whole Health at Southport
• John K Mayeno, MD
• Donald J. Mayer, D.D.S.
• Joscelyn M Mayfield, DPT
• Lenae Mays
• Susan Alice Mays, LMP
• Christopher Mbuthia
• Joan M Mbuthia, RN
• Lacey McAllister, L.M.T.

• Mental Health Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.