Active NPI
Bethanne Kinmonth
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1700285806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 108 S Jackson St
Suite 203
Seattle, WA 98104-3802 - Phone
- (206) 915-8694
- NPI assigned
- Aug 14, 2014
- Reactivated
- Mar 9, 2019
- 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 | Primary |
Addresses
Primary practice location
108 S Jackson St
Suite 203
Seattle, WA 98104-3802
Mailing address
108 S Jackson St
Suite 203
Seattle, WA 98104-3802
Phone (206) 915-8694
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodness & Grief Counseling, PLLC | Past | Accepting new patients | |
| The Shelterwood Collective | Mental Health | Past | Accepting new patients |
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.
-
dba Bethanne Kinmonth Counseling
- Adult Mental Health Clinic/Center
- Seattle, WA
- NPI 1235633322
-
- Mental Health Counselor
- Seattle, WA
- NPI 1538663604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552089600000",
"number": "1700285806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S JACKSON ST",
"address_2": "SUITE 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043802",
"telephone_number": "206-915-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S JACKSON ST",
"address_2": "SUITE 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043802",
"telephone_number": "206-915-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINMONTH",
"first_name": "BETHANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2019-03-09",
"deactivation_date": "2019-02-27",
"reactivation_date": "2019-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.