NPIMap

Organization Active NPI

Krave Lyfe Mental Health Counseling

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1467074609
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRAVE LYFE MENTAL HEALTH COUNSELING
Practice address
6326 Martin Way E Ste 200
Lacey, WA 98516-5570
Phone
(253) 223-5578
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Cassie A Icenogle, LMHCNPI 1891272506
Title
Owner
Phone
(360) 506-4886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6326 Martin Way E Ste 200
Lacey, WA 98516-5570

Mailing address

6326 Martin Way E Ste 200
Lacey, WA 98516-5570
Phone (253) 223-5578

Other names 1

  • Krave Lyfe Mental Health Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com

National Provider Directory

National Provider Directory

Locations

6326 Martin Way E
Ste 200
Lacey, WA 98516
Phone (253) 223-5578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1467074609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 MARTIN WAY E STE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165570",
            "telephone_number": "253-223-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 MARTIN WAY E STE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165570",
            "telephone_number": "253-223-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAVE LYFE MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "ICENOGLE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-506-4886",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "website that is encrypted",
            "address_1": "6326 Martin Way E Ste 200",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985165570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Krave Lyfe Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.