Individual provider Active NPI

Kathryn Carter, LICSW

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1790254910
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60824412 Issued in WA
Practice address
1201 Jadwin Ave Ste 104
Richland, WA 99352-3430
Phone
(509) 824-1202
NPI assigned
Nov 16, 2018
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60824412 WA Primary

Addresses

Primary practice location

1201 Jadwin Ave Ste 104
Richland, WA 99352-3430

Mailing address

1201 Jadwin Ave Ste 104
Richland, WA 99352-3430
Phone (509) 824-1202

Other practice location 1

14606 S Haney Rd
Kennewick, WA 99337-8555
Phone (509) 824-1202

Other practice location 2

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968
Phone (509) 591-1663

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

State licenses

LicenseStateTypeSpecialty
60824412WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1790254910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 JADWIN AVE STE 104",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523430",
            "telephone_number": "509-824-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 JADWIN AVE STE 104",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523430",
            "telephone_number": "509-824-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14606 S Haney Rd",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993378555",
            "country_code": "US",
            "telephone_number": "509-824-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 W Kennewick Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362968",
            "country_code": "US",
            "telephone_number": "509-591-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KATHRYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60824412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.