Katherine Distefano IV

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

13500 SE 7TH St
Vancouver, WA 98683-6909

Phone

(360) 699-2244

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Katherine McFarlane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Children'S Center

  • Adolescent and Children Mental Health Clinic/Center
  • Vancouver, WA
  • NPI 1407870108
  NPD (past)
• Haleola Chiropractic Inc

  • Chiropractor
  • Portland, OR
  • NPI 1023374253
  NPD (past)
• Haleola Chiropractic Inc

  • Chiropractor
  • Portland, OR
  • NPI 1740723469
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1891852224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836909",
            "telephone_number": "360-699-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTEFANO",
        "first_name": "KATHERINE",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11090",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MCFARLANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Discovery Chiropractic Clinic, Inc
• Leslie Disher, DO
• Denise Dishongh, MA, LMHC, SUDP
• Brielle Nicole Disney
• Jennifer Dian Distefano, LMHC
• Joyelle K Divall Rayan, MS CCCSLP
• Divine Home Health Care Inc
• Divinity Adult Family Home, LLC
• Brittany Nichole Faith Dixon, QMHP-C
• James Dixon

• Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.