Individual provider Active NPI

Kelley Ann Nay, LMFHC

  • Mental Health Counselor
  • Sammamish, WA
National Provider Identifier
1467788570
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60203337 Issued in WA
Practice address
239 247TH PL NE
Sammamish, WA 98074-3484
Phone
(425) 736-1858
Fax
(425) 748-9954
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60203337 WA Primary

Addresses

Primary practice location

239 247TH PL NE
Sammamish, WA 98074-3484

Mailing address

239 247TH PL NE
Sammamish, WA 98074-3484
Phone (425) 736-1858

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

State licenses

LicenseStateTypeSpecialty
LH60203337WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1467788570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 247TH PL NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980743484",
            "telephone_number": "425-736-1858",
            "fax_number": "425-748-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 247TH PL NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980743484",
            "telephone_number": "425-736-1858",
            "fax_number": "425-748-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60203337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.