Individual provider Active NPI

Kendra Corey, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1487014544
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60355643 Issued in WA
Practice address
1002 S Oswald St
Spokane, WA 99224-0001
Phone
(206) 445-4618
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 MC60355643 WA Primary

Addresses

Primary practice location

1002 S Oswald St
Spokane, WA 99224-0001

Mailing address

1002 S Oswald St
Spokane, WA 99224-0001
Phone (206) 445-4618

Other identifiers 1

IdentifierTypeStateIssuer
1487014544MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://redeemingevecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 2, 2024 through Aug 2, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC60355643WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1487014544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S OSWALD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992240001",
            "telephone_number": "206-445-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OSWALD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992240001",
            "telephone_number": "206-445-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "KENDRA",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60355643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487014544",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://redeemingevecounseling.com",
            "affiliation": "N",
            "address_1": "1002 S Oswald St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992240001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.