Caylin Jamie Ford, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61422147 Issued in WA

Practice address

17311 135TH Ave NE Ste B300A
Woodinville, WA 98072-4352

Phone

(425) 293-1751

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1821788084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 103RD AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587972",
            "telephone_number": "425-293-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE STE B300A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724352",
            "telephone_number": "425-293-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CAYLIN",
        "middle_name": "JAMIE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61422147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Fleischhauer
• Kelly Todd Flemetakis, MOT
• Bella Fleur, LMP
• Susan N. Flick, PH.D.
• Wendy Joann Forbes, LMP
• Janet Martha Ford, MD
• Formo Enterprises, Inc
• Kimberly Renee Formo, D.C.
• Molly E Fors, LMP
• Azure Forte, LMHC, TEP

• Mental Health Counselor in Woodinville, WA
• Providers in Woodinville, 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 May 11, 2023; 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.