Individual provider Active NPI

Katherine Fitzpatrick O'Leary, M.A.

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1891835237
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60554367 Issued in WA
Practice address
714 W 20TH Ave
Spokane, WA 99203-2033
Phone
(206) 321-8921
Fax
(206) 480-0848
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60554367 WA Primary

Addresses

Primary practice location

714 W 20TH Ave
Spokane, WA 99203-2033

Mailing address

714 W 20TH Ave
Spokane, WA 99203-2033
Phone (206) 321-8921

Other practice location 1

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 741-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240422001785 VA Practitioner - Mental Health Counselor 6800221771 Practice locations: Portsmouth, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

714 W 20TH Ave
Spokane, WA 99203-2033
Phone (818) 661-2584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60554367WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1891835237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W 20TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032033",
            "telephone_number": "206-321-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W 20TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032033",
            "telephone_number": "206-321-8921",
            "fax_number": "206-480-0848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17701 San Pasqual Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "760-741-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KATHERINE",
        "middle_name": "FITZPATRICK",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60554367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.