Active NPI
Kids Club Counseling LLC
- Marriage & Family Therapist
- Coupeville, WA
National Provider Identifier
1891541579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- KIDS CLUB COUNSELING LLC
- Practice address
- 107 S Main St Ste B203
Coupeville, WA 98239-3562 - Phone
- (720) 588-4101
- NPI assigned
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Beth Kinsey, MA, LMFT
- Title
- Owner
- Phone
- (360) 672-4524
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
107 S Main St Ste B203
Coupeville, WA 98239-3562
Mailing address
107 S Main St Ste B203
Coupeville, WA 98239-3562
Phone (720) 588-4101
National Provider Directory
National Provider DirectoryLocations
107 S Main St
Ste B203
Coupeville, WA 98239
Phone (360) 202-7629
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Coupeville, WA
- NPI 1073021507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1891541579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S MAIN ST STE B203",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393562",
"telephone_number": "720-588-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S MAIN ST STE B203",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393562",
"telephone_number": "720-588-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CLUB COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "KINSEY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-672-4524",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.