Cori Ann Kieswether

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61368859 Issued in WA

Practice address

16821 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-0401

Phone

(360) 818-9593

Fax

(360) 718-7742

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 5Codys LLC

  dba skipping stones behavioral learning center

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1689243578
  NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1720799133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830401",
            "telephone_number": "360-818-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830401",
            "telephone_number": "360-818-9593",
            "fax_number": "360-718-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESWETHER",
        "first_name": "CORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61368859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kibaba, CNA
• Kido Psychological Services PS
• Deborah Ann Kier, PT
• Elana S Kier, MSW
• Lena-Liis Kiesel
• Lam Thuy Kieu, PHARMD
• Anastasia Nyaguthii Kihwaga
• Erin Kilburn
• Ian Kile, CBT
• Ezra Kilfoil, LMFT

• Behavior Technician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.