Active NPI
Kathryn Clancy, MA, LMHC
- Mental Health Counselor
- Coupeville, WA
National Provider Identifier
1821651035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60804884
- Practice address
- 105 NW 1St St
Coupeville, WA 98239-3138 - Phone
- (360) 678-7911
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60804884 | WA | Primary |
Addresses
Primary practice location
105 NW 1St St
Coupeville, WA 98239-3138
Mailing address
PO Box 5000
Coupeville, WA 98239-5000
Phone (360) 678-7911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | k.clancy@co.island.wa.us | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60804884 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Island | Past | Accepting new patients | |
| County of Island | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Island County Housing Support Center
- Case Management Agency
- Coupeville, WA
- NPI 1083188809
-
- Community Health Registered Nurse
- Coupeville, WA
- NPI 1467581678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1821651035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982395000",
"telephone_number": "360-678-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NW 1ST ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393138",
"telephone_number": "360-678-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "KATHRYN",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60804884",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "k.clancy@co.island.wa.us",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Provider Information",
"address_1": "105 NW 1st St",
"city": "Coupeville",
"state": "WA",
"country_code": "US",
"postal_code": "982393138",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.