Jean Kavanaugh, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH0000382411 Issued in WA

Practice address

10501 Creek St. S. E. (Not a Mailing Address)
Ste 6
Yelm, WA 98597

Phone

(360) 584-6484

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1750324364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1346",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985971346",
            "telephone_number": "360-584-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 CREEK ST. S. E. (NOT A MAILING ADDRESS)",
            "address_2": "STE 6",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-584-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH0000382411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Rose Johns
• Carolyn Lee Johnson, ARNP, CNM
• Christine Q. Johnson, PT, DPT
• Brittnee Kathleen Jordan, LMHCA
• Sonja Erika Kalama, LMT
• R. Marlin Kay, DDS
• Brian Keay, MD
• Courtney Bryann Keen
• Namsik Kim, LIC, ACU
• Graysen Keeley Kimball

• Mental Health Counselor in Yelm, WA
• Providers in Yelm, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.