Individual provider Active NPI

Kim Goerlitz, MS, LMFT

  • Marriage & Family Therapist
  • Bainbridge Island, WA
National Provider Identifier
1497499347
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
271 Wyatt Way NE Ste 204
Bainbridge Island, WA 98110-2873
Phone
(206) 590-0863
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X WA Primary

Addresses

Primary practice location

271 Wyatt Way NE Ste 204
Bainbridge Island, WA 98110-2873

Mailing address

271 Wyatt Way NE Ste 204
Bainbridge Island, WA 98110-2873
Phone (206) 590-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 8, 2025 through Jul 8, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Tree Counseling PLLC Marriage & Family Therapist CurrentSince May 25, 2025 Accepting new patients

Locations

271 Wyatt Way NE
Ste 204
Bainbridge Island, WA 98110
Phone (206) 590-0863

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1497499347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WYATT WAY NE STE 204",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102873",
            "telephone_number": "206-590-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 WYATT WAY NE STE 204",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102873",
            "telephone_number": "206-590-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERLITZ",
        "first_name": "KIM",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.