Kylani St. Clair

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61113579 Issued in WA

Practice address

19709 Bothell Everett Hwy Apt 324
Bothell, WA 98012-8151

Phone

(425) 248-1611

NPI assigned

Apr 2, 2018

Last updated

Aug 18, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1497251144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19709 BOTHELL EVERETT HWY APT 324",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128151",
            "telephone_number": "425-248-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19709 BOTHELL EVERETT HWY APT 324",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128151",
            "telephone_number": "425-248-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "KYLANI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH611143579",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61113579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "871505646",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Lynn Spitz, DC
• Marina R Spitz, SUDPT
• Abigail Clairice St Hilaire
• St Jacques Consulting Group LLC
• Kevin Wayne St Jacques, PSY.D., LMHC
• Chloe Jean St. Onge
• Kathleen R Stabbert, LMHC
• Peggy Stanley, LICSW, CHHS
• Starting Point Acupuncture and Wellness, PLLC
• Steen and Peysakhov PLLC (Bothell Oral, Maxillofacial & Implant Surgery)

• Mental Health Counselor in Bothell, WA
• Providers in Bothell, 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 Aug 18, 2022; 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.