Kathryn Ruth List, LMSW, LICSWA, SUDPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW - 30945 Issued in ID

Practice address

922 S J St
Tacoma, WA 98405-4110

Phone

(253) 300-2848

NPI assigned

Jun 30, 2015

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

Other names 1

• Mrs. Kathryn Hart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: advancedmentalhealthofwa.kathrynlist159776.advancedmd-direct.com@159776.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Mental Health of Washington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
  • NPI 1982389516

  Mental Health

  NPD
• Ashwood Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1043545106

  Mental Health

  NPD (past)
• Ashwood Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boise, ID
  • NPI 1801452677
  NPD (past)
• Brighter Future Health Inc

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1285078949
  NPD (past)
• Northpoint Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Meridian, ID
  • NPI 1154709087
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1477936136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054110",
            "telephone_number": "253-300-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9292 W Barnes Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091554",
            "country_code": "US",
            "telephone_number": "208-795-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2335 E State Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428808",
            "country_code": "US",
            "telephone_number": "208-672-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 Parkcentre Way Ste 7",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836511794",
            "country_code": "US",
            "telephone_number": "208-229-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048738",
            "country_code": "US",
            "telephone_number": "208-609-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7941 W Rifleman St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049001",
            "country_code": "US",
            "telephone_number": "208-895-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIST",
        "first_name": "KATHRYN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LMSW,  LICSWA, SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW - 30945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HART",
            "prefix": "MRS.",
            "credential": "LMSW-30945",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Dolores Lippiatt
• Eunjin Lipton, ARNP
• Jolyn Janea Liquido, PTA
• Lisa L Buttaro, DDS
• Carolyn Kelly Lisle Bade
• Rusty Shane Lister
• Donald B Liteanu, M.D.
• Steven H Litsky, M.D.
• Luke Little Moon
• Diana Michelle Little, LMSW, CSWA

• All providers in Tacoma, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.