Kirstin Zoe Nicole, MACP, MATC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60701110 Issued in WA

Practice address

7900 E Green Lake Dr N Ste 202
Seattle, WA 98103-4818

Phone

(206) 569-8425

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kirstin Nicole Naumann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487057964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034818",
            "telephone_number": "206-569-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034818",
            "telephone_number": "206-569-8425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5536 SE Schiller St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972064868",
            "country_code": "US",
            "telephone_number": "206-569-8425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 E Martin Luther King Jr Blvd",
            "address_2": "#1255",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787021516",
            "country_code": "US",
            "telephone_number": "206-569-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLE",
        "first_name": "KIRSTIN",
        "middle_name": "ZOE",
        "credential": "MACP, MATC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60701110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "LH60701110",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "NAUMANN",
            "middle_name": "NICOLE",
            "credential": "MACP, MATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Hollinsworth
• Nicole Marie Eul
• Nicole Paolone Webb LLC
• Nicole T Shiraev, Licsw, PLLC
• Elyse Schel Nicole, ARNP
• Roberto F Nicosia, M.D., PH.D.
• Nona Niculescu, M.D.
• Harvey I J Niebulski, M.D.
• Doriane E Nieburgs, MA, LMHC, CMHS
• Molly Anne Niedermeyer, ND

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.