Active NPI
Patricia Kuipers-Dawson, LMHC, LICSWA
- Mental Health Counselor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61463342
- Practice address
- 1498 SE Tech Center PL Ste 300&130
Vancouver, WA 98683-9591 - Phone
- (360) 619-2226
- NPI assigned
- Apr 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60648871 | WA | |
| Mental Health Counselor | 101YM0800X | LH61463342 | WA | Primary |
Addresses
Primary practice location
1498 SE Tech Center PL Ste 300&130
Vancouver, WA 98683-9591
Mailing address
3305 Main St
Suite 009
Vancouver, WA 98663
Phone (360) 241-9357
Other practice location 1
3606 Main St
Vancouver, WA 98663-2257
Phone (360) 241-9357
Other practice location 2
3305 Main St. suite 009
Vancouver, WA 98663-9868
Phone (360) 241-9357
Other names 1
- Patricia Hancock
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60648871 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadfast Counseling PLLC | Mental Health | Current | Accepting new patients |
| Real Life Community Behavioral Health PLLC | Mental Health | Current | Accepting new patients |
| Family Solutions, Inc | Past | Accepting new patients |
Locations
1498 SE Tech Center Pl
Ste 180
Vancouver, WA 98683
Phone (360) 200-8670
3606 Main St
Ste 205
Vancouver, WA 98663
Phone (360) 200-8670
3606 Main St
Ste 202
Vancouver, WA 98663
Phone (360) 695-7699
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/family-solutions/r4/
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1336958032
-
- Clinical Social Worker
- Vancouver, WA
- NPI 1053782078
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1952063265
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1831258995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1417310699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 MAIN ST",
"address_2": "SUITE 009",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98663",
"telephone_number": "360-241-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 SE TECH CENTER PL STE 300&130",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839591",
"telephone_number": "360-619-2226"
}
],
"practiceLocations": [
{
"address_1": "3606 Main St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632257",
"country_code": "US",
"telephone_number": "360-241-9357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3305 Main St. suite 009",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986639868",
"country_code": "US",
"telephone_number": "360-241-9357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUIPERS-DAWSON",
"first_name": "PATRICIA",
"credential": "LMHC, LICSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60648871",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61463342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HANCOCK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.