Active NPI
Carolynn McConkey Caughie, LMHC
- Mental Health Counselor
- Silverdale, WA
National Provider Identifier
1629030481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004096
- Practice address
- 1191 NW Tahoe Lane
Silverdale, WA 98383 - Phone
- (360) 698-4860
- Fax
- (360) 698-3849
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00004096 | WA | Primary |
Addresses
Primary practice location
1191 NW Tahoe Lane
Silverdale, WA 98383
Mailing address
1191 NW Tahoe Lane
Silverdale, WA 98383
Phone (360) 698-4860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 31, 2024 through Oct 31, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004096 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1629030481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 NW TAHOE LANE",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-698-4860",
"fax_number": "360-698-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 NW TAHOE LANE",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-698-4860",
"fax_number": "360-698-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUGHIE",
"first_name": "CAROLYNN",
"middle_name": "MCCONKEY",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.