Active NPI
Kristin Ott, MSW, LSWAIC
- Mental Health Counselor
- Edmonds, WA
National Provider Identifier
1386192078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SC60550890
- Practice address
- 23317 Edmonds Way
Apt 1
Edmonds, WA 98026-8689 - Phone
- (501) 777-5688
- NPI assigned
- Sep 12, 2016
- Last updated
- Sep 12, 2016
- 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 | SC60550890 | WA | Primary |
Addresses
Primary practice location
23317 Edmonds Way
Apt 1
Edmonds, WA 98026-8689
Mailing address
23317 Edmonds Way
Apt 1
Edmonds, WA 98026-8689
Phone (501) 777-5688
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC60550890 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1386192078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23317 EDMONDS WAY",
"address_2": "APT 1",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268689",
"telephone_number": "501-777-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23317 EDMONDS WAY",
"address_2": "APT 1",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268689",
"telephone_number": "501-777-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "KRISTIN",
"credential": "MSW, LSWAIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "SC60550890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.