Individual provider Active NPI

Kaylee Zornes, CO61032199

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1891318820
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61032199 Issued in WA
Practice address
4324 N Jefferson St
Spokane, WA 99205-1209
Phone
(509) 315-8682
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61032199 WA Primary

Addresses

Primary practice location

4324 N Jefferson St
Spokane, WA 99205-1209

Mailing address

4324 N Jefferson St
Spokane, WA 99205-1209
Phone (509) 315-8682

Other names 1

  • Kaylee Zornes Professional name

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

State licenses

LicenseStateTypeSpecialty
CO61032199WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Treatment and Recovery Services Addiction (Substance Use Disorder) CurrentSince Feb 11, 2024 Accepting new patients

Locations

4324 N Jefferson St
Spokane, WA 99205
Phone (509) 315-8682

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

Organizations & group practices 1

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1891318820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 N JEFFERSON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051209",
            "telephone_number": "509-315-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 N JEFFERSON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051209",
            "telephone_number": "509-315-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNES",
        "first_name": "KAYLEE",
        "credential": "CO61032199",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61032199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "ZORNES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.