Active NPI
Karen Marie Trujillo, LMHCA
- Psychologist
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61219466
- Practice address
- 602 E Nob Hill Blvd
Yakima, WA 98901-3534 - Phone
- (509) 248-3334
- Fax
- (509) 453-6144
- NPI assigned
- Dec 2, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61007459 | WA | |
| Mental Health Counselor | 101YM0800X | MC61007459 | WA | |
| Psychologist | 103T00000X | PY61219466 | WA | Primary |
Addresses
Primary practice location
602 E Nob Hill Blvd
Yakima, WA 98901-3534
Mailing address
602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone (509) 248-3334
Other practice location 1
918 E Mead Ave
Yakima, WA 98903-3720
Phone (509) 453-1344 ext. 4628
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktrujillo28949@yvfwc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1460 N 16TH Ave
Suite D
Yakima, WA 98902-7102
Phone (509) 574-3805
Hospital & facility affiliations
- Yakima Valley Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61007459 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients |
Locations
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
1460 N 16th Ave
Ste D
Yakima, WA 98902
Phone (509) 574-3805
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1730726423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989013534",
"telephone_number": "509-248-3334",
"fax_number": "509-453-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989013534",
"telephone_number": "509-248-3334",
"fax_number": "509-453-6144"
}
],
"practiceLocations": [
{
"address_1": "918 E Mead Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989033720",
"country_code": "US",
"telephone_number": "509-453-1344 x4628",
"fax_number": "509-453-2981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUJILLO",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61007459",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61007459",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61219466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktrujillo28949@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "602 E Nob Hill Blvd",
"city": "Yakima",
"state": "WA",
"country_code": "US",
"postal_code": "989013534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.