Organization Active NPI

Discover Healing

  • Professional Counselor
  • Lake Stevens, WA
National Provider Identifier
1659044196
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DISCOVER HEALING
Practice address
512 91St Ave NE Ste C
Lake Stevens, WA 98258-2566
Phone
(425) 870-0895
Fax
(425) 377-1764
NPI assigned
Jul 30, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
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

Authorized official

Name
Ms. Kristin Lee Roessler, LMHCNPI 1649365149
Title
Owner
Phone
(425) 870-0895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

512 91St Ave NE Ste C
Lake Stevens, WA 98258-2566

Mailing address

512 91St Ave NE Ste C
Lake Stevens, WA 98258-2566
Phone (425) 870-0895

Other practice location 1

828 2nd St Ste H
Mukilteo, WA 98275-1601
Phone (425) 870-0895

Other identifiers 2

IdentifierTypeStateIssuer
1710996251MedicaidWA
1649365149MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.officeally.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1659044196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 91ST AVE NE STE C",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582566",
            "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": "512 91ST AVE NE STE C",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582566",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 2nd St Ste H",
            "address_purpose": "LOCATION",
            "city": "Mukilteo",
            "state": "WA",
            "postal_code": "982751601",
            "country_code": "US",
            "telephone_number": "425-870-0895",
            "fax_number": "425-377-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISCOVER HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "ROESSLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-870-0895",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710996251",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649365149",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "512 91st Ave NE Ste C",
            "city": "Lake Stevens",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982582566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.