Kristin Roberts, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60624596 Issued in WA

Practice address

7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553

Phone

(206) 708-7274

Fax

(206) 444-7810

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1710385067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 SE 160TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585312",
            "telephone_number": "425-331-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 FORT DENT WAY STE 220",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981888553",
            "telephone_number": "206-708-7274",
            "fax_number": "206-444-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTIN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60704002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60624596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Jane Rix, BSW
• Ray Charles Robbins Jr., MA, CDP, RC
• Robert D Dean DDS PS
• Lesley Roberts Cauldron
• Emmalie Roberts
• Lynn J Roberts
• Heather A Robertson
• Autumn Robinson
• Natalie Roche, MA, LMHC
• Craig Steven Rock, CDPT

• Mental Health Counselor in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.