Kaitlin Colleen Obrien Oliver, LMHCA,ESA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15715 Main St NE Ste 210
Duvall, WA 98019-8580

Phone

(425) 224-6123

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kaitlin Colleen Obrien Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1447846266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 MAIN ST NE STE 210",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198580",
            "telephone_number": "425-224-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KAITLIN",
        "middle_name": "COLLEEN OBRIEN",
        "credential": "LMHCA,ESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "OBRIEN",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caron Louise Nelson, DDS
• Cristina Rodica Nitulescu, RN
• Michael J Noblin, M.A., LMHCA
• Wendy Jo Nygaard, ATC, CSCS
• Kelly Oberbillig
• Antonio Ignacio Palacios, E.A.M.P.
• Shin Wook Park, PTA
• Talia Parker, LMHCA
• Passages Perinatal Counseling, PLLC
• Alyssa Perez

• Mental Health Counselor in Duvall, WA
• Providers in Duvall, 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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.