Individual provider Active NPI

Kristin Fernald, LMHC

  • Mental Health Counselor
  • Lopez Island, WA
National Provider Identifier
1427484013
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60160850 Issued in WA
Practice address
98 Salmon Berry LN
Lopez Island, WA 98261-8526
Phone
(360) 468-3785
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 60160850 WA Primary

Addresses

Primary practice location

98 Salmon Berry LN
Lopez Island, WA 98261-8526

Mailing address

98 Salmon Berry LN
Lopez Island, WA 98261-8526
Phone (360) 468-3785

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
I20260414000550 WA Practitioner - Mental Health Counselor 3173098548 Practice locations: Lopez Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 Salmonberry LN
Lopez Island, WA 98261-8526
Phone (360) 468-3785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60160850WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1427484013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SALMON BERRY LN",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618526",
            "telephone_number": "360-468-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SALMON BERRY LN",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618526",
            "telephone_number": "360-468-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALD",
        "first_name": "KRISTIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60160850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lopez Island, WA

Sources for this page

Verify at the official NPI Registry.