Kyeisha Hodge, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60507339 Issued in WA

Legal business name

KYEISHA HODGE, LLC

Practice address

1903 NE 85TH St
Apt 405
Seattle, WA 98115-8203

Phone

(205) 775-0502

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Kyeisha Ebony Hodge, LMHCA

Title

Mental Health Counselor

Phone

(205) 774-0502

Specialties & licenses 1

Addresses

Other names 1

• Introspective Counseling Services Other name

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1619340445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 NE 85TH ST",
            "address_2": "APT 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 NE 85TH ST",
            "address_2": "APT 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158203",
            "telephone_number": "205-775-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYEISHA HODGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KYEISHA",
        "authorized_official_middle_name": "EBONY",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "205-774-0502",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60507339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Introspective Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yujeong Alyx Kwon, RDH
• Agnes Kwong, PH.D.
• Elaine Kwong
• Ivy Kwong
• Sunna Kwun, MD
• Kyle a. Smits DDS PLLC
• Sarah Jessica Kyle
• Jeffrey Kyllo, M.D.
• Marika Kyrimis, PH.D.
• Anna Kyryienko, MA61518117

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.