Individual provider Active NPI

Katrina Cairo

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1417647728
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61304517 Issued in WA
Practice address
655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Phone
(360) 433-9664
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 MC61304517 WA Primary

Addresses

Primary practice location

655 W Columbia Way Ste 400
Vancouver, WA 98660-3613

Mailing address

750 SW 9TH Ave Apt 812
Portland, OR 97205-2560

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001074 WA Practitioner - Mental Health Counselor 7416470547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refresh Therapy, IncGroup PAC ID 2365965985, 10 clinicians

Practice addresses (Care Compare)

13505 NE 10TH Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC61304517WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Refresh Therapy, Inc Mental Health PastSince May 14, 2023 Accepting new patients

Locations

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

15609 SE Mill Plain Blvd
Ste 200
Vancouver, WA 98684

655 W Columbia Way
Ste 400
Vancouver, WA 98660
Phone (360) 433-9664

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1417647728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SW 9TH AVE APT 812",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W COLUMBIA WAY STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603613",
            "telephone_number": "360-433-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRO",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61304517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.