Active NPI
Kathleen A Poissot, CDP, LMHC, MAC, NCC
- Professional Counselor
- Poulsbo, WA
National Provider Identifier
1538712195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP00000878
- Practice address
- 21207 Indianola Rd NE
Poulsbo, WA 98370-7748 - Phone
- (360) 689-6113
- NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CP00000878 | WA | Primary |
Addresses
Primary practice location
21207 Indianola Rd NE
Poulsbo, WA 98370-7748
Mailing address
21207 Indianola Rd NE
Poulsbo, WA 98370-7748
Phone (360) 689-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00000878 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1538712195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21207 INDIANOLA RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707748",
"telephone_number": "360-689-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21207 INDIANOLA RD NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707748",
"telephone_number": "360-689-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POISSOT",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "CDP, LMHC, MAC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "CP00000878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
- Anthony Hoai-Nam Pham, MD
- Riley Phelps, DPT
- Naomi Jordyn Phillips
- Daniel C Pippinger, LMFT
- Kate Pippinger, MFT
- Port Townsend Foot & Ankle Center
- Avery Post
- Poulsbo Compounding Pharmacy LLC (Nordic Pharmacy)
- Poulsbo Compounding Pharmacy LLC (Poulsbo Compounding Pharmacy)
- Poulsbo Natural Family Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.