Lara Kjeldsen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61561179 Issued in WA

Practice address

1337 S Grand Blvd Ste 110
Spokane, WA 99202-1136

Phone

(509) 795-0195

NPI assigned

Sep 12, 2022

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

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1508588047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E INDIANA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244414",
            "telephone_number": "386-956-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GRAND BLVD STE 110",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-795-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELDSEN",
        "first_name": "LARA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23759",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61561179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Josiah Kiu, DC
• John D. Kivle, O.D.
• Belinda Dawn Kizer
• Bobbi E Kizer, PHD
• Deborah L Kizziar, D.D.S., M.D.
• Diana Klages
• Lorie A. Klahn, ARNP
• Caitlin Klamper, MD
• Amy Klante, MLS (ASCP)
• Nicholas T Klassen, PHYSICIAN ASSISTANT

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, 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 Jun 22, 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.