Organization Active NPI

Kevala Counseling, LLC

  • Marriage & Family Therapist
  • Lacey, WA
National Provider Identifier
1538852058
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KEVALA COUNSELING, LLC
Practice address
8613 Martin Way E Ste 201
Lacey, WA 98516-5820
Phone
(360) 480-0027
Fax
(360) 634-3590
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Mr. Robert Charles Keller, MANPI 1801581277
Title
Owner
Phone
(360) 480-0027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

8613 Martin Way E Ste 201
Lacey, WA 98516-5820

Mailing address

4570 Avery LN SE Ste C102
Lacey, WA 98503-5608
Phone (360) 480-0027

National Provider Directory

National Provider Directory

Locations

8613 Martin Way E
Ste 201
Lacey, WA 98516
Phone (253) 929-4302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1538852058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 AVERY LN SE STE C102",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035608",
            "telephone_number": "360-480-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 MARTIN WAY E STE 201",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165820",
            "telephone_number": "360-480-0027",
            "fax_number": "360-634-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVALA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-480-0027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.