Individual provider Active NPI

Katherynn E. Gordon-Sawiris, LCSW

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1528339470
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW61353758 Issued in WA
Practice address
3329 Grand Ave
Everett, WA 98201-4212
Phone
(425) 224-9808
NPI assigned
Jan 24, 2012
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 LW61353758 WA Primary

Addresses

Primary practice location

3329 Grand Ave
Everett, WA 98201-4212

Mailing address

3329 Grand Ave
Everett, WA 98201-4212
Phone (425) 224-9808

Other practice location 1

2918 Colby Ave Ste 211
Everett, WA 98201-4077
Phone (425) 224-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61353758WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1528339470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014212",
            "telephone_number": "425-224-9808",
            "fax_number": "909-986-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014212",
            "telephone_number": "425-224-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2918 Colby Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014077",
            "country_code": "US",
            "telephone_number": "425-224-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON-SAWIRIS",
        "first_name": "KATHERYNN",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61353758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.