Active NPI
Klingensmith Counseling and Psychological Services
- Clinical Psychologist
- Richland, WA
National Provider Identifier
1720852429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KLINGENSMITH COUNSELING AND PSYCHOLOGICAL SERVICES
- Practice address
- 719 Jadwin Ave Unit 719-11
Richland, WA 99352-4217 - Phone
- (509) 214-1894
- NPI assigned
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Klingensmith, PSYD
- Title
- Psychologist/Owner
- Phone
- (509) 214-1894
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
719 Jadwin Ave Unit 719-11
Richland, WA 99352-4217
Mailing address
719 Jadwin Ave Unit 719-11
Richland, WA 99352-4217
Other names 1
- KCPS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
719 Jadwin Ave
Ste 71911
Richland, WA 99352
Phone (715) 330-1183
719 Jadwin Ave
Unit 71911
Richland, WA 99352
Phone (509) 214-1894
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1720852429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 JADWIN AVE UNIT 719-11",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 JADWIN AVE UNIT 719-11",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-214-1894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLINGENSMITH COUNSELING AND PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "KLINGENSMITH",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "509-214-1894",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KCPS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "KCPS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.