Active NPI
Darleen Mary Kildow, LMHC, NCC
- Specialist
- Stanwood, WA
National Provider Identifier
1730150533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1744000000X
- Practice address
- 9416 271St St NW
Stanwood, WA 98292-8094 - Phone
- (360) 629-4709
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1744000000X | WA | Primary |
Addresses
Primary practice location
9416 271St St NW
Stanwood, WA 98292-8094
Mailing address
PO Box 1531
Stanwood, WA 98292
Phone (360) 629-4709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 5, 2025 through Feb 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1744000000X | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1730150533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1531",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-629-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9416 271ST ST NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928094",
"telephone_number": "360-629-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILDOW",
"first_name": "DARLEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "1744000000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.