Organization Active NPI

Kettle River Whole Life, Inc.

  • Mental Health Counselor
  • Curlew, WA
National Provider Identifier
1871170498
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KETTLE RIVER WHOLE LIFE, INC.
Practice address
21 Louie Creek Dr
Curlew, WA 99118-9704
Phone
(509) 207-0082
Fax
(833) 392-1177
NPI assigned
Mar 28, 2021
Last updated
Mar 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Authorized official

Name
Christy Ann Harvey, LMHCNPI 1417260332
Title
Vice President
Phone
(509) 207-0082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Chiropractor 111N00000X

Addresses

Primary practice location

21 Louie Creek Dr
Curlew, WA 99118-9704

Mailing address

21 Louie Creek Dr
Curlew, WA 99118-9704
Phone (509) 207-0082

National Provider Directory

National Provider Directory

Locations

21 Louie Creek Dr
Curlew, WA 99118
Phone (509) 207-0082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1871170498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOUIE CREEK DR",
            "city": "CURLEW",
            "state": "WA",
            "postal_code": "991189704",
            "telephone_number": "509-207-0082",
            "fax_number": "833-392-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOUIE CREEK DR",
            "city": "CURLEW",
            "state": "WA",
            "postal_code": "991189704",
            "telephone_number": "509-207-0082",
            "fax_number": "833-392-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTLE RIVER WHOLE LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "509-207-0082",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Curlew, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.