Individual provider Active NPI

Katelyn Reseck, LMHCA, LMFTA

  • Marriage & Family Therapist
  • Richland, WA
National Provider Identifier
1891568192
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61484222 Issued in WA
Practice address
1177 Jadwin Ave Ste 105
Richland, WA 99352-3404
Phone
(509) 676-9171
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61484114 WA
Marriage & Family Therapist 106H00000X MG61484222 WA Primary

Addresses

Primary practice location

1177 Jadwin Ave Ste 105
Richland, WA 99352-3404

Mailing address

4012 S Anderson St
Kennewick, WA 99337-3104
Phone (509) 676-9171

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
MC61484114WAMDMental Health Counselor
MG61484222WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1891568192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 S ANDERSON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373104",
            "telephone_number": "509-676-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 JADWIN AVE STE 105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523404",
            "telephone_number": "509-676-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESECK",
        "first_name": "KATELYN",
        "credential": "LMHCA, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61484114",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61484222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.