Kaitlin Fogelson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60737347 Issued in WA

Practice address

1101 W College Ave
Spokane, WA 99201-2010

Phone

(509) 324-1420

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Horizon Care Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
  • NPI 1538388665
  NPD (past)
• New Horizon Care Centers, Inc.

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1518186600
  NPD (past)
• Spokane Regional Health District

  • Public Health or Welfare Agency
  • Spokane, WA
  • NPI 1811954373
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1811428873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S BROWNE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W COLLEGE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012010",
            "telephone_number": "509-324-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 S Browne St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042315",
            "country_code": "US",
            "telephone_number": "509-456-5465 x408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGELSON",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60737347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FMG East Dalke Avenue Washington LLC
• FMG North Lidgerwood Street Washington LLC
• Zachary Fobar
• Alyssa Belle Fobes
• Amelia Focher
• Mackenzie Lee Fogelson
• Barbara A Folden, M.ED. LMHC
• Alysia Foley, RN
• Diana Marie Foley, SUDP/LMHC
• Kimberly A Foley, MD, FNP

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.