Individual provider Active NPI

Kristina Ann Lanouette, LICSW

  • Social Worker
  • Lakebay, WA
National Provider Identifier
1881296796
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61024293 Issued in WA
Practice address
8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326
Phone
(253) 260-6366
Fax
(253) 884-2632
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61024293 WA Primary
Clinical Social Worker 1041C0700X LW61024293 WA

Addresses

Primary practice location

8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326

Mailing address

8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326
Phone (253) 260-6366

Other identifiers 1

IdentifierTypeStateIssuer
2168524MedicaidWA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220321002749 WA Practitioner - Clinical Social Worker 6901291350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Point Therapy LLCGroup PAC ID 5092100446, 2 clinicians

Practice addresses (Care Compare)

8903 Key Pen Hwy N
Ofc 1
Lakebay, WA 98349-9326
Phone (253) 260-6366

8903 Key Peninsula Hwy NW
Lakebay, WA 98349-9326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Key Point Therapy, PLLC Mental Health CurrentSince Mar 16, 2022 Accepting new patients
Priceless Endeavors, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1881296796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "253-260-6366",
            "fax_number": "253-884-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 KEY PENINSULA HWY NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499326",
            "telephone_number": "253-260-6366",
            "fax_number": "253-884-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANOUETTE",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61024293",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61024293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakebay, WA

Sources for this page

Verify at the official NPI Registry.