Katherine Eleanor Ibis, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61130025 Issued in WA

Practice address

1620 Woodard Ave NW Unit E3
Olympia, WA 98502-4230

Phone

(360) 878-5815

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Pathways Mental Health Services

  • Mental Health Counselor
  • Olympia, WA
  • NPI 1306004775
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1821555111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 WOODARD AVE NW UNIT E3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024230",
            "telephone_number": "360-878-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 WOODARD AVE NW UNIT E3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024230",
            "telephone_number": "360-878-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4804 Lacey Blvd SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035733",
            "country_code": "US",
            "telephone_number": "360-799-5782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Caton Way SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985021176",
            "country_code": "US",
            "telephone_number": "360-670-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBIS",
        "first_name": "KATHERINE",
        "middle_name": "ELEANOR",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61130025",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60917788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Hyer, LMT
• Hyun Hyo Choi DDS PLLC
• I Presume PLLC
• I'Mpowered Nutrition & Fitness, LLC (i'mPowered Nutrition & Fitness)
• Ashley M Iacchetta
• Ideal Option, PLLC
• Angela M Idowu, RN
• Nassim Ijadi
• Kanza Ijaz
• Elizabeth Klein Ilem, P.T.

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 Oct 30, 2022; 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.