Sammamish Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LW00004419 Issued in WA

Legal business name

SAMMAMISH COUNSELING

Practice address

22803 SE 21St St
Sammamish, WA 98075-8101

Phone

(425) 391-7870

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine Jon Kendall, MSW, LICSW

Title

Director

Phone

(425) 391-7870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396815346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22803 SE 21ST ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980758101",
            "telephone_number": "425-391-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22803 SE 21ST ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980758101",
            "telephone_number": "425-391-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-391-7870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sammamish, WA
• Providers in Sammamish, 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 Aug 22, 2020; 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.