Individual provider Active NPI

Katherine Ledbury, M.A.

  • Professional Counselor
  • Vancouver, WA
National Provider Identifier
1609134246
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4066 Issued in OR
Practice address
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7369
Phone
(360) 993-3156
Fax
(360) 993-3047
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60610033 WA
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X C4066 OR Primary

Addresses

Primary practice location

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7369

Mailing address

6926 NE Fourth Plain Blvd
P.O. Box 1337
Vancouver, WA 98661-7369
Phone (360) 993-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260303001632 OR Practitioner - Mental Health Counselor 1254813934 Reassigns benefits to 1 organization
I20260303003358 WA Practitioner - Mental Health Counselor 1254813934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, shared by 2 NPIs, 331 clinicians

Practice addresses (Care Compare)

1750 Blankenship Rd
Suite 400
West Linn, OR 97068-5102
Phone (503) 659-5515

19120 SE 34TH St
Suite 201
Vancouver, WA 98683-1430
Phone (360) 906-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60610033WAMDMental Health Counselor
C4066ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Jan 18, 2026 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Jan 18, 2026 Accepting new patients

Locations

870 82nd Dr
Gladstone, OR 97027
Phone (503) 272-8031

10151 SE Sunnyside Rd
Ste 480
Happy Valley, OR 97015
Phone (503) 739-8321

1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.katherineledbury@148835.advancedmd-direct.com

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1609134246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 NE FOURTH PLAIN BLVD",
            "address_2": "P.O. BOX 1337",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617369",
            "telephone_number": "360-993-3156",
            "fax_number": "360-993-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617369",
            "telephone_number": "360-993-3156",
            "fax_number": "360-993-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBURY",
        "first_name": "KATHERINE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60610033",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.