Kathleen Sjostrom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CL61353622 Issued in WA

Practice address

15010 NE 39TH St
Vancouver, WA 98682-8253

Phone

(360) 608-8106

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1447952726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 NE 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828253",
            "telephone_number": "360-608-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 NE 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828253",
            "telephone_number": "360-608-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOSTROM",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL61353622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sites
• Vivian Rhodora Marie Darlucio Situ, RN
• Melissa Molly Sivaram, MS
• Jillian Nicole Sivinski, OT
• Sara F. Siwanowicz, CRNA
• Brenda Lynn Sjothun, LMT
• Nancy K Skanchy, MSW,LCSW
• Brandie Marie Skariah, PT
• Linso Mary Skariah, PH
• Jade Skavroneck

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Mar 20, 2023; 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.