Individual provider Active NPI

Kendra Kirsonis, MA, LMFTA, LMHCA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1740846286
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60908687 Issued in WA
Practice address
5424 Ballard Ave NW Ste 300
Seattle, WA 98107-4046
Phone
(747) 228-2840
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60908615 WA
Mental Health Counselor 101YM0800X MC60908687 WA Primary

Addresses

Primary practice location

5424 Ballard Ave NW Ste 300
Seattle, WA 98107-4046

Mailing address

PO Box 70111
Seattle, WA 98127-0111

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kendrakirsonis.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60908687WAMDMental Health Counselor
MG60908615WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1740846286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70111",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981270111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 BALLARD AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074046",
            "telephone_number": "747-228-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSONIS",
        "first_name": "KENDRA",
        "credential": "MA, LMFTA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60908615",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60908687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kendrakirsonis.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice Website",
            "address_1": "5424 Ballard Ave NW Ste 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981074046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.