Kalee-Glynn Mikiko Floyd, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61555648 Issued in WA

Practice address

13505 NE 10TH Ave
Vancouver, WA 98685-2711

Phone

(360) 433-9664

NPI assigned

Oct 3, 2024

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Refresh Therapy, Inc

  • Marriage & Family Therapist
  • Vancouver, WA
  • NPI 1225403454
  Medicare reassignment NPD
• Refresh Therapy, Inc

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1235064858
  NPD (past)

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407675747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W COLUMBIA WAY STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852711",
            "telephone_number": "360-433-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W Columbia Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603613",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "KALEE-GLYNN",
        "middle_name": "MIKIKO",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61555648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flourish: a Space for Dimensional Healing
• Flourishlmt PLLC
• Kristen M Flowers, MFTA
• Miley Celeste Flowers, LMP
• Crystal A Floyd, PTA
• Kiersten Norene Flyckt, PHARMD
• Christina Flynn, LW61326712
• Matthew James Flynn, M.D.
• Mikiko Flynn, M.D.
• FMG North Garrison Road Washington LLC

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.