Individual provider Active NPI

Kristin Lee Roessler, LMHC

  • Mental Health Counselor
  • Lake Stevens, WA
National Provider Identifier
1649365149
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009748 Issued in WA
Practice address
9429 North Davies Road
Lake Stevens, WA 98258
Phone
(425) 870-0895
Fax
(425) 377-1764
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00009748 WA Primary

Addresses

Primary practice location

9429 North Davies Road
Lake Stevens, WA 98258

Mailing address

9429 North Davies Road
PO Box 1175
Lake Stevens, WA 98258
Phone (425) 870-0895

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
LH00009748WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Roessler, LLC Current Accepting new patients
Discover Healing Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

512 91st Ave NE
Ste C
Lake Stevens, WA 98258
Phone (425) 268-3389

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1649365149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 NORTH DAVIES ROAD",
            "address_2": "PO BOX 1175",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "98258",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9429 NORTH DAVIES ROAD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "98258",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSLER",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.