Active NPI
Kylee Davies
- Mental Health Counselor
- Renton, WA
National Provider Identifier
1710365200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60842871
- Practice address
- 1200 SW 27TH St
Renton, WA 98057-2603 - Phone
- (800) 287-2680
- NPI assigned
- May 15, 2015
- Last updated
- Feb 12, 2024
- 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 | LH60842871 | WA | Primary |
Addresses
Primary practice location
1200 SW 27TH St
Renton, WA 98057-2603
Mailing address
1200 SW 27TH St
Renton, WA 98057-2603
Phone (002) 872-6808
Other practice location 1
829 Chief Eddie Hoffman Hwy
Suite 150
Bethel, AK 99559
Phone (907) 543-6100
Other practice location 2
2323 N Discovery Pl
Spokane Valley, WA 99216-1566
Phone (509) 747-4174 ext. 7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020986 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60842871 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1710365200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SW 27TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980572603",
"telephone_number": "002-872-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SW 27TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980572603",
"telephone_number": "800-287-2680"
}
],
"practiceLocations": [
{
"address_1": "829 Chief Eddie Hoffman Hwy",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Bethel",
"state": "AK",
"postal_code": "99559",
"country_code": "US",
"telephone_number": "907-543-6100",
"fax_number": "907-543-6159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2323 N Discovery Pl",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992161566",
"country_code": "US",
"telephone_number": "509-747-4174 x7243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIES",
"first_name": "KYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-15",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60842871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1200 SW 27th St",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980572603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.