Individual provider Active NPI

Kasara M D'Elene, M.A.

  • Counselor
  • Bothell, WA
National Provider Identifier
1467746412
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC 60217274 Issued in WA
Practice address
18001 Bothell Everett Hwy
Suite 109
Bothell, WA 98012-6895
Phone
(425) 415-8410
Fax
(425) 415-8432
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC 60217274 WA Primary

Addresses

Primary practice location

18001 Bothell Everett Hwy
Suite 109
Bothell, WA 98012-6895

Mailing address

18001 Bothell Everett Hwy
Suite 109
Bothell, WA 98012-6895
Phone (425) 415-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC 60217274WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1467746412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 BOTHELL EVERETT HWY",
            "address_2": "SUITE 109",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126895",
            "telephone_number": "425-415-8410",
            "fax_number": "425-415-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 BOTHELL EVERETT HWY",
            "address_2": "SUITE 109",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126895",
            "telephone_number": "425-415-8410",
            "fax_number": "425-415-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ELENE",
        "first_name": "KASARA",
        "middle_name": "M",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC 60217274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.