Individual provider Active NPI

Ray Jason Katzenbach, PH.D.

  • Counseling Psychologist
  • University Place, WA
National Provider Identifier
1538404116
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY60324969 Issued in WA
Practice address
2607 Bridgeport Way W Ste 2D
University Place, WA 98466-4725
Phone
(253) 446-2319
Fax
(253) 375-1653
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60324969 WA
Counseling Psychologist 103TC1900X PY60324969 WA Primary

Addresses

Primary practice location

2607 Bridgeport Way W Ste 2D
University Place, WA 98466-4725

Mailing address

2607 Bridgeport Way W Ste 2D
University Place, WA 98466-4725
Phone (253) 446-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107003424 WA Practitioner - Clinical Psychologist 2567896251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2607 Bridgeport Way W
Suite 2D
University Place, WA 98466-4725
Phone (253) 446-2319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60324969WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Services by Ops, PLLC CurrentSince Oct 31, 2022 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Aug 26, 2022 Accepting new patients
Elevation Psychological Services PLLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

711 Court a
Ste 114
Tacoma, WA 98402
Phone (253) 269-6063

2607 Bridgeport Way W
Ste 2D
University Place, WA 98466
Phone (253) 446-2319

Organizations & group practices 3

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1538404116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-446-2319",
            "fax_number": "253-375-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-446-2319",
            "fax_number": "253-375-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZENBACH",
        "first_name": "RAY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60324969",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60324969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.