Active NPI
Kevin Rosales Lazaro
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1881507366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 655 W Columbia Way Ste 400
Vancouver, WA 98660-3613 - Phone
- (360) 284-1463
- Fax
- (360) 326-7224
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Mailing address
15187 SW Royalty Pkwy Apt E21
Tigard, OR 97224-3945
Phone (718) 791-3180
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refresh Therapy, Inc | Multi-Specialty | Past | Accepting new patients |
| Refresh Therapy, Inc | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1235064858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1881507366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15187 SW ROYALTY PKWY APT E21",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243945",
"telephone_number": "718-791-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W COLUMBIA WAY STE 400",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603613",
"telephone_number": "360-284-1463",
"fax_number": "360-326-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARO",
"first_name": "KEVIN",
"middle_name": "ROSALES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.