Individual provider Active NPI

Kathleen Anne Hittner-McConahy, MA MFT

  • Marriage & Family Therapist
  • Ridgefield, WA
National Provider Identifier
1912148461
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60200483 Issued in WA
Practice address
25410 NE 29TH Ave
Ridgefield, WA 98642-9438
Phone
(209) 559-5191
NPI assigned
Mar 13, 2009
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1225 OR
Marriage & Family Therapist 106H00000X LF60200483 WA Primary

Addresses

Primary practice location

25410 NE 29TH Ave
Ridgefield, WA 98642-9438

Mailing address

25410 NE 29TH Ave
Ridgefield, WA 98642-9438
Phone (209) 559-5191

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF60200483WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling and Equine Assisted Psychotherapy Marriage & Family Therapist CurrentSince Nov 12, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1912148461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25410 NE 29TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429438",
            "telephone_number": "209-559-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25410 NE 29TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429438",
            "telephone_number": "209-559-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITTNER-MCCONAHY",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1225",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60200483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.