Individual provider Active NPI

Kathleen G Warcup, MA

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1386870335
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00034705 Issued in WA
Practice address
9030 Pacific Ave NW
Silverdale, WA 98383-8555
Phone
(360) 308-0010
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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 RC00034705 WA Primary

Addresses

Primary practice location

9030 Pacific Ave NW
Silverdale, WA 98383-8555

Mailing address

2916 NW Bucklin Hill Rd
Ste. 472
Silverdale, WA 98383-8514
Phone (360) 308-0010

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

LicenseStateTypeSpecialty
RC00034705WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1386870335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD",
            "address_2": "STE. 472",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "360-308-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 PACIFIC AVE NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838555",
            "telephone_number": "360-308-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARCUP",
        "first_name": "KATHLEEN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00034705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.