Individual provider Active NPI

Katlaina Rayne, M.A,

  • Counselor
  • Coupeville, WA
National Provider Identifier
1801001839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH00006593 Issued in WA
Practice address
303 NE 7TH St
Coupeville, WA 98239-3571
Phone
(360) 678-0804
Fax
(360) 678-4887
NPI assigned
May 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH00006593 WA Primary

Addresses

Primary practice location

303 NE 7TH St
Coupeville, WA 98239-3571

Mailing address

303 NE 7TH St
Coupeville, WA 98239-3571
Phone (360) 678-0804

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701003326 WA Practitioner - Mental Health Counselor 3577007533 Practice locations: Ferndale, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1413 Woods Point Loop
Ferndale, WA 98248-7731
Phone (360) 632-5687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00006593WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801001839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NE 7TH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393571",
            "telephone_number": "360-678-0804",
            "fax_number": "360-678-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NE 7TH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393571",
            "telephone_number": "360-678-0804",
            "fax_number": "360-678-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNE",
        "first_name": "KATLAINA",
        "name_prefix": "Ms.",
        "credential": "M.A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00006593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.