Individual provider Active NPI

Kelsey Somppi

  • Marriage & Family Therapist
  • Mulino, OR
National Provider Identifier
1578911046
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60975652 Issued in WA
Practice address
15383 S Graves Rd
Mulino, OR 97042-9789
Phone
(360) 727-1450
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60975652 WA Primary

Addresses

Primary practice location

15383 S Graves Rd
Mulino, OR 97042-9789

Mailing address

15383 S Graves Rd
Mulino, OR 97042-9789
Phone (360) 727-1450

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
LF60975652WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Counseling Solutions LLC Mental Health CurrentSince Nov 1, 2020 Accepting new patients
Children's Home Society of Washington Past Accepting new patients

Organizations & group practices 2

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1578911046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15383 S GRAVES RD",
            "city": "MULINO",
            "state": "OR",
            "postal_code": "970429789",
            "telephone_number": "360-727-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15383 S GRAVES RD",
            "city": "MULINO",
            "state": "OR",
            "postal_code": "970429789",
            "telephone_number": "360-727-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMPPI",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60975652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mulino, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.