Kathryn Corinne Kitzing, CP60324554; MC608611

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60861137 Issued in WA

Practice address

390 E Sunset Way
Issaquah, WA 98027-3441

Phone

(253) 553-7231

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 14, 2024 through Sep 14, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1780119982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273441",
            "telephone_number": "253-553-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273441",
            "telephone_number": "253-553-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 108th Ave NE Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98004",
            "country_code": "US",
            "telephone_number": "245-454-1199",
            "fax_number": "425-454-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 108th Ave NE Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98004",
            "country_code": "US",
            "telephone_number": "245-454-1199",
            "fax_number": "425-454-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "824 E Main St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980025625",
            "country_code": "US",
            "telephone_number": "253-553-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZING",
        "first_name": "KATHRYN",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "CP60324554; MC608611",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60324554",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61069288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60861137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kirkevold, OTR/L
• William B Kirshner, MD
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• Anasztazia Szofia Rosaleen Kiss
• Michael Kitsis, DMD
• Olga Klachkovich
• Kevin Timothy Klar, LMHC
• Leah Klauer
• Kleaca Dialysis LLC
• Denis Kleiman

• Mental Health Counselor in Issaquah, WA
• Providers in Issaquah, 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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.