Kaitlyn Kyle Sheridan, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6523 Califorina Ave SW #25
Seattle, WA 98136

Phone

(206) 747-8134

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Mudita Psychotherapy PLLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1073290839
  NPD Authorized official
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1447731435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 CALIFORINA AVE SW #25",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98136",
            "telephone_number": "206-747-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 CALIFORINA AVE SW #25",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98136",
            "telephone_number": "206-747-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KAITLYN",
        "middle_name": "KYLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Price Therapy PLLC (Agate Therapy Group)
• Shereen Morse MD PLLC
• Tina Shereen, MD
• Tracy Sherertz, M.D.
• Erin Nicole Sheridan, ARNP
• Kara Lynn Sheridan, MA/CCC-SLP
• Karen Anna Sheridan, MENTAL HEALTH COUNSE
• Kayla A Sheridan, MD
• Meghan Sheridan, MD
• Stacey Janette Sheridan, P.T., D.P.T

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Jun 26, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.