Kaitlyn Kristy Fraley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61103556 Issued in WA

Practice address

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847

Phone

(360) 698-5883

Fax

(360) 809-6002

NPI assigned

Mar 12, 2019

Last updated

Nov 29, 2024By the provider in NPPES

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

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCS Counseling Group LLCGroup PAC ID 8224485131, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1740727494
  Medicare reassignment Care Compare group NPD
• Kyle McKenzie DC Inc

  dba Silver Sound Chiropractic

  • Chiropractor
  • Silverdale, WA
  • NPI 1487254645
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1841758513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "KAITLYN",
        "middle_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61103556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2233365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gavin Williams Ford, M.D.
• Brenda Valenzuela Fortune, PHD
• Melinda Jean Elterich Foster, APRN, AGACNP-BC
• Stephen Derrick Fowler, M.D.
• Nicole Suzanne Douthett Fox, LICSW
• Franciscan Health System (Sports, Orthopedic and Spine Health Center)
• Franciscan Medical Group (Franciscan Orthopedics-Silverdale)
• Franciscan Medical Group (The Doctors Clinic Ambulatory Surgical Center, A Part of the Francisca)
• Franciscan Medical Group (The Doctors Clinic, A Part of the Franciscan Medical Group)
• Marie Ann Franckowiak, L.M.P.

• Mental Health Counselor in Silverdale, WA
• Providers in Silverdale, 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 Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.