Active NPI
Katelynn Hyde
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1528636768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 130 Andover Park E Ste 207
Tukwila, WA 98188-2990 - Phone
- (206) 854-4693
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
130 Andover Park E Ste 207
Tukwila, WA 98188-2990
Mailing address
10125 Holman Rd NW
Seattle, WA 98177-4922
Other practice location 1
10125 Holman Rd NW
Seattle, WA 98177-4922
Phone (562) 458-2772
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1528636768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10125 HOLMAN RD NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981774922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ANDOVER PARK E STE 207",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882990",
"telephone_number": "206-854-4693"
}
],
"practiceLocations": [
{
"address_1": "10125 Holman Rd NW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981774922",
"country_code": "US",
"telephone_number": "562-458-2772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYDE",
"first_name": "KATELYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.